Salus Med Pc

LBN: Salus Med Pc
Salus Med Pc is an health care organization with primary practice located at 121 Cedar Ln Suite2B, Teaneck NJ 07666-4457. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Salus Med Pc can be contacted via phone (732) 485-6874, or through Villongco, Raymond Manzano via phone (732) 329-1257.

Contact Information

Primary practice address
121 Cedar Ln Suite2B Teaneck NJ 07666-4457
Fax:
Website:
Authorized official contact:
Name: Villongco, Raymond Manzano Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA07738300 New Jersey
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 25MA07738300 New Jersey

Profile Details

NPI number 1073652210
LBN Legal business name Salus Med Pc
DBA Doing business as
Authorized official Villongco, Raymond Manzano Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2007
Last updated Jan 4th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073652210 NPPES
New York MEDICAID 01722150

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