Basic Information
| Provider Information | |||||||||
| NPI: | 1134149701 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SALOMON | ||||||||
| FirstName: | PIERRE | ||||||||
| MiddleName: | |||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 DIAMOND HILL RD | ||||||||
| Address2: | |||||||||
| City: | BERKELEY HEIGHTS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 079222104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9082734300 | ||||||||
| FaxNumber: | 2013396333 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 DIAMOND HILL RD | ||||||||
| Address2: | |||||||||
| City: | BERKELEY HEIGHTS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 079222104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9082734300 | ||||||||
| FaxNumber: | 2013396333 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/19/2006 | ||||||||
| LastUpdateDate: | 03/05/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 234001 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 25MA07920500 | NJ | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 2590212 | 01 | NY | GHI PPO | OTHER | P00216254 | 01 | RAILROAD MEDICARE | OTHER | SP4001 | 01 | ATLANTIS | OTHER | 1509259 | 01 | NY | AETNA HMO | OTHER | 3C9587 | 01 | HEALTHNET | OTHER | P3479895 | 01 | OXFORD | OTHER | 00000087633 | 01 | NY | GHI HMO | OTHER | 7930101 | 05 | NJ | MEDICAID | 7306731 | 01 | NY | AETNA PPO | OTHER | 789707 | 01 | MVP | OTHER | 02621070 | 05 | NY | MEDICAID |