Individual provider Active NPI

Joseph S. Saleeb, MD, F.A.C.G.S.

  • Internal Medicine Physician
  • Bayonne, NJ
National Provider Identifier
1982624581
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06522100 Issued in NJ
Practice address
862 Broadway
Bayonne, NJ 07002-3054
Phone
(201) 339-4811
Fax
(201) 339-4402
NPI assigned
Jul 20, 2006
Last updated
Jul 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06522100 NJ Primary

Addresses

Primary practice location

862 Broadway
Bayonne, NJ 07002-3054

Mailing address

3455 Kennedy Blvd
Jersey City, NJ 07307-4107
Phone (201) 533-0003

Other identifiers 1

IdentifierTypeStateIssuer
7831102MedicaidNJ

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
I20100104000417 NJ Practitioner - Internal Medicine 4082755731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

862 Broadway
Bayonne, NJ 07002-3054
Phone (201) 339-4811

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06522100NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ijkg Opco LLC Current Accepting new patients
St George Clinic, Inc. Internal Medicine CurrentSince Jan 19, 2000 Accepting new patients
Jersey City Medical Center Past Accepting new patients
Ijkg Opco LLC Past Accepting new patients

Locations

862 Broadway
Bayonne, NJ 07002
Phone (201) 333-8222

3455 John F Kennedy Blvd
Jersey City, NJ 07307

Interoperability endpoints

  • Direct secure messaging: joseph.saleeb@direct.bayonnemedicalcenter.md
  • Direct secure messaging: joseph.saleeb@stgeorgeclinicinc.ehi.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1982624581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073074107",
            "telephone_number": "201-533-0003",
            "fax_number": "201-533-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023054",
            "telephone_number": "201-339-4811",
            "fax_number": "201-339-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEEB",
        "first_name": "JOSEPH",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD, F.A.C.G.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06522100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7831102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.