Organization Active NPI

Gary R Salzman, D.O.,PC

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1861576704
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS006642-L Issued in PA
Legal business name
GARY R SALZMAN, D.O.,PC
Practice address
5945 Lansdowne Ave
Philadelphia, PA 19151-3932
Phone
(215) 878-4585
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Dr. Gary R Salzman, D.O.NPI 1356397939
Title
Physician
Phone
(215) 878-4585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS006642-L PA Primary

Addresses

Primary practice location

5945 Lansdowne Ave
Philadelphia, PA 19151-3932

Mailing address

5945 Lansdowne Ave
Philadelphia, PA 19151-3932
Phone (215) 878-4585

Other practice location 1

443 Mill St
Bristol, PA 19007-4801
Phone (215) 788-5553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040706001239 PA Part B Supplier - Clinic/Group Practice 1052398179 Receives reassigned benefits from 3 practitioners
Practice locations: Bristol, PA; Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

134 Mill St
#R
Bristol, PA 19007
Phone (215) 788-5553

3500 Vista St
Ofc
Philadelphia, PA 19136
Phone (215) 338-4100

3500 Vista St
Philadelphia, PA 19136
Phone (215) 338-4100

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1861576704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5945 LANSDOWNE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513932",
            "telephone_number": "215-878-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5945 LANSDOWNE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513932",
            "telephone_number": "215-878-4585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "443 Mill St",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "PA",
            "postal_code": "190074801",
            "country_code": "US",
            "telephone_number": "215-788-5553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GARY R SALZMAN, D.O.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "SALZMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "215-878-4585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006642-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.