Provider Demographics
NPI:1538183843
Name:SALASIN, ROBERT I (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:I
Last Name:SALASIN
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 1:8 SOUTH DENNIS RD
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-1967
Mailing Address - Country:US
Mailing Address - Phone:609-465-3939
Mailing Address - Fax:609-465-4042
Practice Address - Street 1:8 SOUTH DENNIS RD
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-1967
Practice Address - Country:US
Practice Address - Phone:609-465-3939
Practice Address - Fax:609-465-4042
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03080500207QG0300X, 207QA0505X, 207QH0002X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ020013471OtherRAILROAD MEDICARE
NJ1813005Medicaid
NJ020013471OtherRAILROAD MEDICARE
NJD96990Medicare UPIN