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DR. STACY P SALOB M.D.
NPI 1194776435
Dermatology in Harrison, NY

Active since May 12, 2006Opted out of Medicare · through Jul 1, 2027
361 STERLING RD, HARRISON, NY 10528(914) 967-7224(914) 967-7225 Get Directions Write a Review

NPPES record last updated: September 19, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Stacy P Salob M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STACY P SALOB M.D. (NPI 1194776435) is an individual dermatology provider in Harrison, New York, licensed in New York (187578) and active in the NPI registry since May 2006. She has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1194776435
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. STACY P SALOBCredential: M.D.
Location Address361 STERLING RDHarrison, NY 10528-1320
Mailing Address225 E 64th St, Suite 3New York, NY 10021-6690 · (212) 317-1100 · Fax (212) 317-1391
Phone(914) 967-7224
Fax(914) 967-7225
Sole ProprietorYes
Enumeration DateMay 12, 2006
Last NPPES UpdateSeptember 19, 2007
✔ NPI 1194776435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 187578
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
361 STERLING RD, Harrison, NY 10528
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Other Identifiers 1

Medicare PIN218321NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Stacy P Salob M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2019 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2019
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Salob's NPI number?

The NPI number for Stacy Salob is 1194776435. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Stacy Salob located?

Stacy Salob practices at 361 Sterling Rd, Harrison, NY 10528. The listed phone number is (914) 967-7224.

What is Stacy Salob's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Stacy Salob enrolled in Medicare?

No. Stacy Salob has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Stacy Salob was last updated on September 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.