Individual provider Active NPI

Jacqueline G Salzman, MD

  • Ophthalmology Physician
  • Tarrytown, NY
National Provider Identifier
1801998687
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
147079 Issued in NY
Practice address
200 South Broadway
Suite 211
Tarrytown, NY 10591
Phone
(914) 332-5394
Fax
(914) 332-5465
NPI assigned
Sep 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 147079 NY Primary

Addresses

Primary practice location

200 South Broadway
Suite 211
Tarrytown, NY 10591

Mailing address

200 South Broadway
Suite 211
Tarrytown, NY 10591
Phone (914) 332-5394

Other identifiers 1

IdentifierTypeStateIssuer
WS1064OtherOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120118000085 NY Practitioner - Ophthalmology 0446427355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 S Broadway
Suite 211
Tarrytown, NY 10591-4504
Phone (914) 332-5394

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
147079NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jacqueline G. Salzman, M.D. P.C. Ophthalmology CurrentSince Jul 24, 1981 Accepting new patients

Locations

200 S Broadway
Ste 211
Tarrytown, NY 10591
Phone (914) 332-5394

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801998687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOUTH BROADWAY",
            "address_2": "SUITE 211",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "10591",
            "telephone_number": "914-332-5394",
            "fax_number": "914-332-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTH BROADWAY",
            "address_2": "SUITE 211",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "10591",
            "telephone_number": "914-332-5394",
            "fax_number": "914-332-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALZMAN",
        "first_name": "JACQUELINE",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "147079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "WS1064",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

Verify at the official NPI Registry.