MEDICARE: SALVATORE PEPE IV DO

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	207P00000X	Emergency Medicine Physician	25MB07025000	NJ
2	207R00000X	Internal Medicine Physician	25MB07025000	NJ
3	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	25MB07025000	NJ

General Provider Information

NPI Number	:	1609809458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALVATORE PEPE IV DO

Provider Business Mailing Address
First Line	:	1 DIAMOND HILL RD
Second Line	:
City	:	BERKELEY HEIGHTS
State	:	NJ
Zip	:	07922-2104
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1825 ROUTE 35
Second Line	:
City	:	WALL TOWNSHIP
State	:	NJ
Zip	:	07719-3541
Country	:	US
Telephone Number	:	732-280-2600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	03/12/2026

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