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Arcival Salazar

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

125 Paterson St, New Brunswick, NJ 08901-1962

PECOS Enrollment

Based on the most recent information from CMS, provider Arcival Salazar is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1316532153
Provider Type
Individual
Full Name
Salazar, Arcival
Credential
APN

Gender
Male
Sole Proprietor
No
Enumeration Date
3/3/2021
Last Updated
2/16/2023

Contact Information

Practice Location

125 Paterson St, New Brunswick, NJ 08901-1962

(732) 235-7733

Unlisted Fax

Mailing Location

125 Paterson St, New Brunswick, NJ 08901-1962

(732) 235-7733

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 26NJ01119600 New Jersey

Arcival Salazar

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Ejiofor, Michelle

Gaido, James C

Patel, Kunjal

Basilio, Vanessa Ann

Sanchez, Jessica

Goldstein, Diana Rae

Trinidad, Vincent

Billemeyer, Nicole

Gibbons, Geraldine Blaney

Drozd, Margaret