Salus Med New York PC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

220788 Issued in NY

Legal business name

SALUS MED NEW YORK PC

Practice address

1090 Amsterdam Ave
Suite 5F
New York, NY 10025-1737

Phone

(646) 409-3557

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Raymond Manzano Villongco, M.D.

Title

Ceo

Phone

(646) 351-6473

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1992844120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 E 88TH ST APT 5A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281185",
            "telephone_number": "646-351-6473",
            "fax_number": "646-351-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 AMSTERDAM AVE",
            "address_2": "SUITE 5F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251737",
            "telephone_number": "646-409-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUS MED NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "VILLONGCO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "MANZANO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-351-6473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "220788",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "220788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01722150",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salud Medical Office, PC
• Saludberry Medical PC
• Amardeep Singh Saluja, M.D.
• Eva Saluk, RPA-C
• Salus Care Consulting Corp
• Helen R Salus, PH.D., AU.D.
• Fervic Salvacion
• Salvador Deocampo Jr
• Mabely Salvador, MSW
• Magdalena Pilar Salvador, MD

• Geriatric Medicine (Internal Medicine) Physician in New York, NY
• Providers in New York, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.