MEDICARE: SALERNO MEDICAL ASSOCIATES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician
2	207R00000X	Internal Medicine Physician		NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184766107
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALERNO MEDICAL ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	613 PARK AVE FL 2
Second Line	:
City	:	EAST ORANGE
State	:	NJ
Zip	:	07017-1905
Country	:	US
Telephone Number	:	973-672-2455
Fax Number	:	973-675-0040

Provider Business Practice Location Address
First Line	:	613 PARK AVE FL 2
Second Line	:
City	:	EAST ORANGE
State	:	NJ
Zip	:	07017-1905
Country	:	US
Telephone Number	:	973-672-8573
Fax Number	:	973-675-0040

Authorized Official
Title or Position	:	OWNER
Name	:	ALEXANDER G SALERNO
Credential	:	MD
Telephone Number	:	973-672-2455

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	10/01/2025

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