Individual provider Active NPI

Peter Andrew Salob, MD

  • Orthopaedic Surgery Physician
  • Englewood, NJ
National Provider Identifier
1881646040
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA07295700 Issued in NJ
Practice address
401 S Van Brunt St
Englewood, NJ 07631-4604
Phone
(201) 569-2770
Fax
(201) 569-1774
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MA07295700 NJ Primary

Addresses

Primary practice location

401 S Van Brunt St
Englewood, NJ 07631-4604

Mailing address

401 S Van Brunt St
Englewood, NJ 07631-4604
Phone (201) 569-2770

Other identifiers 1

IdentifierTypeStateIssuer
0003166MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20100929001042 NJ Practitioner - Orthopedic Surgery 3678699451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Chicago, Pritzker School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

1 Towne Ctr
Cliffside Park, NJ 07010-2046
Phone (551) 234-3040

24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601

350 Engle S
5TH FL Room 5518
Englewood, NJ 07631-1808
Phone (201) 568-5250

350 Engle St
Englewood, NJ 07631-1808

350 Engle St Main
Suite 256
Englewood, NJ 07631-1808
Phone (201) 894-3364

695 Anderson Ave
Suite 120
Cliffside Park, NJ 07010-2046
Phone (551) 234-3040

910 Sylvan Ave
Suite 110
Englewood, NJ 07632-3306
Phone (551) 501-8989

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)11
Upper limb (arm) arthroscopy (minimally invasive joint repair)14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Sep 1, 2019 Accepting new patients

Locations

401 S Van Brunt St
Ste 3
Englewood, NJ 07631

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

910 Sylvan Ave
Fl 1
Englewood Cliffs, NJ 07632

910 Sylvan Ave
Ste 100
Englewood Cliffs, NJ 07632

22-02 Broadway
Ste 304
Fair Lawn, NJ 07410
Phone (551) 246-3193

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

1 W Ridgewood Ave
Ste 303
Paramus, NJ 07652
Phone (201) 493-0123

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 and National Provider Directory roles.

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1881646040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S VAN BRUNT ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314604",
            "telephone_number": "201-569-2770",
            "fax_number": "201-569-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S VAN BRUNT ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314604",
            "telephone_number": "201-569-2770",
            "fax_number": "201-569-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALOB",
        "first_name": "PETER",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA07295700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003166",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.