Individual provider Active NPI

Salomon Galimidi-Hodara, MD

  • Pediatrics Physician
  • Linden, NJ
National Provider Identifier
1750415626
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25 MA04682200 Issued in NJ
Practice address
500 N Wood Ave Ste 2a
Linden, NJ 07036-4163
Phone
(908) 955-8686
Fax
(908) 955-8685
NPI assigned
Mar 15, 2007
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25 MA04682200 NJ Primary

Addresses

Primary practice location

500 N Wood Ave Ste 2a
Linden, NJ 07036-4163

Mailing address

500 N Wood Ave Ste 2a
Linden, NJ 07036-4163
Phone (908) 955-8686

Other practice location 1

171 Elmora Ave
third floor
Elizabeth, NJ 07202-1169
Phone (908) 289-2239

Other identifiers 1

IdentifierTypeStateIssuer
3280306MedicaidNJ

Other names 1

  • Salomon Galimidi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25 MA04682200NJMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1750415626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N WOOD AVE STE 2A",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364163",
            "telephone_number": "908-955-8686",
            "fax_number": "908-955-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N WOOD AVE STE 2A",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364163",
            "telephone_number": "908-955-8686",
            "fax_number": "908-955-8685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Elmora Ave",
            "address_2": "third floor",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072021169",
            "country_code": "US",
            "telephone_number": "908-289-2239",
            "fax_number": "908-659-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALIMIDI-HODARA",
        "first_name": "SALOMON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25 MA04682200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3280306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALOMON",
            "last_name": "GALIMIDI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Linden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.