Individual provider Active NPI

Desiree Saltzman

  • Other Technician
  • Boston, MA
National Provider Identifier
1760680748
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
23079-766264052407 Issued in MA
Practice address
427 Commercial St
Boston, MA 02109-1027
Phone
(617) 223-3121
Fax
(617) 223-3038
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X 23079-766264052407 MA Primary

Addresses

Primary practice location

427 Commercial St
Boston, MA 02109-1027

Mailing address

219 Harris St
Revere, MA 02151-5914
Phone (617) 438-4426

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

State licenses

LicenseStateTypeSpecialty
23079-766264052407MAMDOther Technician

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1760680748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 HARRIS ST",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021515914",
            "telephone_number": "617-438-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 COMMERCIAL ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091027",
            "telephone_number": "617-223-3121",
            "fax_number": "617-223-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTZMAN",
        "first_name": "DESIREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "MA",
            "license": "23079-766264052407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.