Provider Demographics
NPI:1134149701
Name:SALOMON, PIERRE (MD)
Entity type:Individual
Prefix:
First Name:PIERRE
Middle Name:
Last Name:SALOMON
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 1:1 DIAMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-2104
Mailing Address - Country:US
Mailing Address - Phone:908-273-4300
Mailing Address - Fax:201-339-6333
Practice Address - Street 1:1 DIAMOND HILL RD
Practice Address - Street 2:
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-2104
Practice Address - Country:US
Practice Address - Phone:908-273-4300
Practice Address - Fax:201-339-6333
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY234001207R00000X
NJ25MA07920500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2590212OtherGHI PPO
P00216254OtherRAILROAD MEDICARE
SP4001OtherATLANTIS
NY1509259OtherAETNA HMO
3C9587OtherHEALTHNET
P3479895OtherOXFORD
NY00000087633OtherGHI HMO
NJ7930101Medicaid
NY7306731OtherAETNA PPO
789707OtherMVP
NY02621070Medicaid
NY2590212OtherGHI PPO
NY00000087633OtherGHI HMO
P3479895OtherOXFORD