Active NPI
Jabbar Saliba, M.D.
- Surgery Physician
- Cortland, NY
National Provider Identifier
1952537847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 286667
- Practice address
- 1259 Fisher Ave
Cortland, NY 13045-1012 - Phone
- (607) 753-1017
- Fax
- (607) 753-1091
- NPI assigned
- Jun 5, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 43355 | TN | |
| Surgery Physician | 208600000X | 286667 | NY | Primary |
Addresses
Primary practice location
1259 Fisher Ave
Cortland, NY 13045-1012
Mailing address
134 Homer Ave
Cortland, NY 13045-1206
Phone (607) 758-8019
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1532556 | Medicaid | TN | |
| 4630541 | Other | TN | BCBS-TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Clinic Corp | Surgery | Past | Accepting new patients |
Interoperability endpoints
- jsaliba163601@direct-guthrie.org
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1952537847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 HOMER AVE",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130451206",
"telephone_number": "607-758-8019",
"fax_number": "607-758-8210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1259 FISHER AVE",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130451012",
"telephone_number": "607-753-1017",
"fax_number": "607-753-1091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALIBA",
"first_name": "JABBAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-05",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "43355",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "286667",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1532556",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-TN",
"identifier": "4630541",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cortland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.