Individual provider Active NPI

Lorraine O Salieb, MD

  • Internal Medicine Physician
  • Sewell, NJ
National Provider Identifier
1881986263
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA09507000 Issued in NJ
Practice address
1 Plaza Dr
Bunker Hill Plaza
Sewell, NJ 08080-9207
Phone
(856) 270-4080
NPI assigned
May 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA09507000 NJ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1 Plaza Dr
Bunker Hill Plaza
Sewell, NJ 08080-9207

Mailing address

I Plaza Drive
Suite 103
Sewell, NJ 08080
Phone (856) 270-4080

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
I20141119002337 NJ Practitioner - Internal Medicine 0244452613 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09507000NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Family Medicine PC CurrentSince Apr 1, 2021 Accepting new patients
Cooper Family Medicine, PC CurrentSince Apr 1, 2021 Accepting new patients
Cooper Physician Offices, PA Internal Medicine CurrentSince Sep 17, 2014 Accepting new patients

Locations

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

3 Executive Campus
Fl 2
Cherry Hill, NJ 08002
Phone (856) 356-4920

504 White Horse Pike
Haddon Hgts, NJ 08035
Phone (856) 546-7990

1 Plaza Dr
Sewell, NJ 08080
Phone (856) 270-4080

Interoperability endpoints

  • Direct secure messaging: lorraine.salieb@somersmedicalcare.chartmakerdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1881986263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "I PLAZA DRIVE",
            "address_2": "SUITE 103",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "08080",
            "telephone_number": "856-270-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PLAZA DR",
            "address_2": "BUNKER HILL PLAZA",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809207",
            "telephone_number": "856-270-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIEB",
        "first_name": "LORRAINE",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09507000",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.