Provider Demographics
NPI:1114002441
Name:INSERRA, SALVATORE (MD)
Entity Type:Individual
Prefix:DR
First Name:SALVATORE
Middle Name:
Last Name:INSERRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 RESEARCH WAY
Mailing Address - Street 2:STE 105
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-6401
Mailing Address - Country:US
Mailing Address - Phone:631-675-2125
Mailing Address - Fax:631-675-2624
Practice Address - Street 1:309 MIDDLE COUNTRY RD
Practice Address - Street 2:STE 101
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787
Practice Address - Country:US
Practice Address - Phone:631-360-2200
Practice Address - Fax:631-360-1328
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY145138-1207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0919077OtherCIGNA
NY4288391OtherAETNA
NY0069854OtherGHI
NY14D891OtherBLUE CROSS BLUE SHEILD
NY488345OtherUNITEDHEALTHCARE
NY00821572Medicaid
NY200008348OtherRAILROAD MEDICARE
NY2C1476OtherHEALTHNET
NYW21941OtherMEDICARE GROUP PTAN
NYCS142OtherOXFORD
NY14D891OtherBC/BS
NY488345OtherUNITEDHEALTHCARE
NY200008348OtherRAILROAD MEDICARE