MEDICARE: DR. SALEH AHMED MASSASATI MD

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	25MA12136100	NJ

General Provider Information

NPI Number	:	1922668581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SALEH AHMED MASSASATI MD

Provider Business Mailing Address
First Line	:	7600 RIVER RD
Second Line	:
City	:	NORTH BERGEN
State	:	NJ
Zip	:	07047-6217
Country	:	US
Telephone Number	:	201-854-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	7600 RIVER RD
Second Line	:
City	:	NORTH BERGEN
State	:	NJ
Zip	:	07047-6217
Country	:	US
Telephone Number	:	201-854-5000
Fax Number	:

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

Provider Enumeration Date	:	06/17/2019
Last Update Date	:	03/15/2026

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