Individual provider Active NPI

Michelle Salvatore, MD

  • Obstetrics & Gynecology Physician
  • Mount Holly, NJ
National Provider Identifier
1902988371
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA06797500 Issued in NJ
Practice address
175 Madison Ave FL 2
Mount Holly, NJ 08060
Phone
(609) 914-6198
Fax
(609) 246-9565
NPI assigned
Oct 19, 2006
Last updated
Oct 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MA67975 NJ
Obstetrics & Gynecology Physician 207V00000X 25MA06797500 NJ Primary

Addresses

Primary practice location

175 Madison Ave FL 2
Mount Holly, NJ 08060

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

1900 Burlington Mount Holly Rd Ste D
Burlington Professional Campus (Rte 541)
Burlington, NJ 08016-4722
Phone (609) 835-5570

Other practice location 2

1900 Burlington Mount Holly Rd Ste D
Burlington Professional Campus (Rte 541)
Burlington, NJ 08016-4722
Phone (609) 835-5570

Other practice location 3

100 Bowman Dr Fl 3
Voorhees, NJ 08043-9612
Phone (856) 247-3821

Other practice location 4

1600 Haddon Ave Fl 3
Camden, NJ 08103-3101
Phone (856) 757-3500

Other identifiers 8

IdentifierTypeStateIssuer
1168943OtherNJHORIZON NJ HEALTH
2090473000OtherNJAMERIHEALTH/KEYSTONE/IBC
010004337OtherNJAMERICHOICE
2303137OtherNJUNITED HEALHCARE
2996399OtherNJAETAN
2999985OtherNJAETNA
3K6162OtherNJHEALTHNET
P2753911OtherNJOXFORD

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address msalvatore49041@directvirtua.org
Direct Messaging Address msalvatore49041@directvirtua.org
Direct Messaging Address msalvatore49041@directvirtua.org

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
I20090413000326 NJ Practitioner - Obstetrics/Gynecology 4880741628 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

175 Madison Ave
Mount Holly, NJ 08060-2038

3242 Route 206
Bordentown, NJ 08505-4517

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06797500NJMDObstetrics & Gynecology Physician
MA67975NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Obstetrical Associates, PC Obstetrics & Gynecology CurrentSince Mar 16, 2009 Accepting new patients
Cooper Faculty OB-GYN, PC Obstetrics & Gynecology CurrentSince Jan 1, 2003 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Virtua Medical Group, PA CurrentSince Jun 13, 2018 Accepting new patients
Virtua Medical Group, PA CurrentSince Jun 13, 2018 Accepting new patients
University Urogynecology Association, PC Obstetrics & Gynecology Past Accepting new patients
Robert Wood Johnson University Hospital at Hamilton Obstetrics & Gynecology Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1900 Mount Holly Rd
Ste D
Burlington Township, NJ 08016
Phone (609) 614-7495

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

1600 Haddon Ave
Fl 3
Camden, NJ 08103
Phone (609) 988-6260

3 Cooper Plz
Rm 301
Camden, NJ 08103
Phone (856) 342-2959

3 Cooper Plz
Rm 502
Camden, NJ 08103
Phone (856) 342-2921

1103 Kings Hwy N
Cherry Hill, NJ 08034
Phone (609) 321-1800

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

175 Madison Ave
Fl 2
Mount Holly, NJ 08060
Phone (609) 914-6198

100 Bowman Dr
Fl 3
Voorhees, NJ 08043
Phone (856) 247-3000

Interoperability endpoints

  • Direct secure messaging: msalvatore49041@directvirtua.org

Organizations & group practices 7

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1902988371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MADISON AVE FL 2",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "08060",
            "telephone_number": "609-914-6198",
            "fax_number": "609-246-9565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Burlington Mount Holly Rd Ste D",
            "address_2": "Burlington Professional Campus (Rte 541)",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NJ",
            "postal_code": "080164722",
            "country_code": "US",
            "telephone_number": "609-835-5570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Burlington Mount Holly Rd Ste D",
            "address_2": "Burlington Professional Campus (Rte 541)",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NJ",
            "postal_code": "080164722",
            "country_code": "US",
            "telephone_number": "609-835-5570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Bowman Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439612",
            "country_code": "US",
            "telephone_number": "856-247-3821",
            "fax_number": "856-247-4452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Haddon Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081033101",
            "country_code": "US",
            "telephone_number": "856-757-3500",
            "fax_number": "856-365-4088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALVATORE",
        "first_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA67975",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA06797500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1168943",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/KEYSTONE/IBC",
            "identifier": "2090473000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "010004337",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALHCARE",
            "identifier": "2303137",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETAN",
            "identifier": "2996399",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2999985",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3K6162",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2753911",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msalvatore49041@directvirtua.org",
            "affiliation": "N",
            "address_1": "175 Madison Ave Fl 2",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msalvatore49041@directvirtua.org",
            "affiliation": "N",
            "address_1": "1600 Haddon Ave Fl 3",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081033101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msalvatore49041@directvirtua.org",
            "affiliation": "N",
            "address_1": "100 Bowman Dr Fl 3",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

Verify at the official NPI Registry.