Individual provider Active NPI

Daniel Ralph Salvadore II, PA-C

  • Physician Assistant
  • Peterborough, NH
National Provider Identifier
1932978715
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2956 Issued in NH
Practice address
452 Old Street Rd
Peterborough, NH 03458-1295
Phone
(603) 924-7191
NPI assigned
Dec 21, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2956 NH Primary

Addresses

Primary practice location

452 Old Street Rd
Peterborough, NH 03458-1295

Mailing address

452 Old Street Rd
Peterborough, NH 03458-1295
Phone (603) 924-7191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250319002778 NH Practitioner - Physician Assistant 2668994666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monadnock Community HospitalGroup PAC ID 7416933031, shared by 5 NPIs, 67 clinicians

Practice addresses (Care Compare)

452 Old St Rd
Peterborough, NH 03458-1263
Phone (603) 924-7191

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2956NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monadnock Community Hospital Physician Assistant CurrentSince Apr 15, 2025 Accepting new patients
Monadnock Community Hospital Current Accepting new patients

Locations

452 Old Street Rd
Peterborough, NH 03458
Phone (603) 924-4699

458 Old Street Rd
Ste 200
Peterborough, NH 03458
Phone (603) 924-2144

Organizations & group practices 2

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 2

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": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1932978715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 OLD STREET RD",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581295",
            "telephone_number": "603-924-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 OLD STREET RD",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581295",
            "telephone_number": "603-924-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVADORE",
        "first_name": "DANIEL",
        "middle_name": "RALPH",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-21",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "2956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peterborough, NH

Sources for this page

Verify at the official NPI Registry.