Active NPI
John A. Salerno, M.D.
- Internal Medicine Physician
- Waterbury, CT
National Provider Identifier
1891747473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 21633
- Practice address
- 60 Westwood Ave
Waterbury, CT 06708-2460 - Phone
- (203) 573-0300
- Fax
- (203) 597-9099
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21633 | CT | Primary |
Addresses
Primary practice location
60 Westwood Ave
Waterbury, CT 06708-2460
Mailing address
60 Westwood Ave
Waterbury, CT 06708-2460
Phone (203) 573-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110921000451 | CT | Practitioner - Internal Medicine | 8729259809 |
Reassigns benefits to 1 organization Practice locations: Waterbury, CT |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipc Hospitalists of New England PC | Internal Medicine | Current | Accepting new patients |
| Ipc Hospitalists of New England, P.C. | Internal Medicine | Current | Accepting new patients |
| John a Salerno, MD | Past | Accepting new patients |
Locations
5 Greenwood St
Hartford, CT 06106
Phone (860) 236-2901
31 Vauxhall St
New London, CT 06320
Phone (203) 789-1650
365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364
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.
-
- Pediatric Cardiology Physician
- Springfield, MA
- NPI 1821401761
CT, Internal Medicine
-
- Primary Care Nurse Practitioner
- Waterbury, CT
- NPI 1306043955
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1801330287
Internal Medicine
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": "1426464000000",
"number": "1891747473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 WESTWOOD AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082460",
"telephone_number": "203-573-0300",
"fax_number": "203-597-9099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 WESTWOOD AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082460",
"telephone_number": "203-573-0300",
"fax_number": "203-597-9099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALERNO",
"first_name": "JOHN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2015-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "21633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.