Individual provider Active NPI

Leslie A. Saltzman, DO

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1730231226
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS013935 Issued in PA
Practice address
1632 Pine St
Philadelphia, PA 19103-6711
Phone
(215) 670-5843
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2834941 NY
Internal Medicine Physician 207R00000X OT010700 PA
Internal Medicine Physician 207R00000X OS013935 PA Primary

Addresses

Primary practice location

1632 Pine St
Philadelphia, PA 19103-6711

Mailing address

138 Pierrepont Street
5J
Brooklyn, NY 11201-6130
Phone (267) 721-1860

Other practice location 1

90 Maiden Ln
300
New York, NY 10038-4831
Phone (646) 290-9560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080114000123 PA Practitioner - Internal Medicine 0648351999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rittenhouse Internal Medicine, PCGroup PAC ID 8820173081, 13 clinicians

Practice addresses (Care Compare)

1632 Pine St
Philadelphia, PA 19103-6711
Phone (215) 670-5843

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2834941NYMDInternal Medicine Physician
OT010700PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rittenhouse Internal Medicine, PC CurrentSince Oct 5, 2020 Accepting new patients
Res Ventures, LLC Past Accepting new patients

Locations

1632 Pine St
Philadelphia, PA 19103
Phone (215) 670-5843

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1730231226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 PIERREPONT STREET",
            "address_2": "5J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016130",
            "telephone_number": "267-721-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 PINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036711",
            "telephone_number": "215-670-5843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Maiden Ln",
            "address_2": "300",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100384831",
            "country_code": "US",
            "telephone_number": "646-290-9560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALTZMAN",
        "first_name": "LESLIE",
        "middle_name": "A.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "2834941",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT010700",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS013935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.