ROSEVILLE MEDICAL SOCIETY LLC
NPI 1275168320
Internal Medicine in Newark, NJ

Active since March 10, 2020CLIA 31D2131565 · Waiver
346 ROSEVILLE AVE, NEWARK, NJ 07107(973) 482-7245(973) 675-0040 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 31, 2025, Mar 10, 2020 (2 updates tracked since 2020).

About Roseville Medical Society Llc NPPES

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

ROSEVILLE MEDICAL SOCIETY LLC (NPI 1275168320) is a healthcare organization registered as an internal medicine in Newark, New Jersey and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through May 31, 2027 and lists Alexander Salerno, Owner, as its authorized official.

NPPES Registry Identity

NPI1275168320
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameROSEVILLE MEDICAL SOCIETY LLC
Location Address346 ROSEVILLE AVENewark, NJ 07107-1722
Mailing Address523 Park AveOrange, NJ 07050-1703 · (862) 229-1516 · Fax (973) 675-0040
Fax(973) 675-0040
Organization SubpartNo
Authorized OfficialAlexander SalernoOwner · (973) 672-2455
Enumeration DateMarch 10, 2020
Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1275168320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
346 ROSEVILLE AVE, Newark, NJ 07107

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roseville Medical Society Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

50

Medicare enrollment records show 50 clinicians reassign Medicare billing to Roseville Medical Society LLC, which bills Medicare for the services they deliver. Of these, 26 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Nurse Practitioner17
Family Practice9
Internal Medicine7
Diagnostic Radiology5
Neurology3
Cardiovascular Disease (Cardiology)2
Clinical Social Worker2
Psychiatry1
4 other specialties4

Nearest to this location (20)

See all 50
Family Practice
NPI 1962190645
491 MOUNT PROSPECT AVE FL 1
Newark, NJ 07104
(973) 485-6433
✔ PECOS✔ Accepts Medicare1.1 mi
Rheumatology
NPI 1578138442
111 CENTRAL AVE MEDICAL EDUCATION DEPT FLOOR D7
Newark, NJ 07102
(973) 877-5465
✔ PECOS1.5 mi
Nurse Practitioner
NPI 1699431361
120 DODD ST
East Orange, NJ 07017
(973) 672-8573
✔ PECOS1.6 mi
Nurse Practitioner
NPI 1932644812
613 PARK AVE 2ND FLOOR
East Orange, NJ 07017
(973) 672-2455
✔ PECOS✔ Accepts Medicare1.7 mi
Internal Medicine
NPI 1295455772
613 PARK AVE
East Orange, NJ 07017
(973) 672-8573
✔ PECOS✔ Accepts Medicare1.7 mi
Internal Medicine
NPI 1962476903
613 PARK AVE
East Orange, NJ 07017
(973) 672-8573
✔ PECOS✔ Accepts Medicare1.7 mi
Pulmonary Disease
NPI 1508326463
613 PARK AVE
East Orange, NJ 07017
(973) 672-8573
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1386486330
613 PARK AVENUE
East Orange, NJ 07017
(866) 525-9018
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1952165003
550 BROAD ST STE 606
Newark, NJ 07102
(201) 822-1161
✔ PECOS✔ Accepts Medicare1.7 mi
Neurology
NPI 1639707169
523 PARK AVE
Orange, NJ 07050
(973) 672-8573
✔ PECOS✔ Accepts Medicare2.7 mi
Urology
NPI 1114968260
256 BROAD ST
Bloomfield, NJ 07003
(973) 743-4450
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1063092112
256 BROAD ST
Bloomfield, NJ 07003
(973) 743-4450
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1598511800
292 LAFAYETTE ST
Newark, NJ 07105
(973) 672-8573
✔ PECOS2.8 mi
Psychiatry
NPI 1669600995
201 LYONS AVE
Newark, NJ 07112
(973) 926-3693
✔ PECOS✔ Accepts Medicare3.9 mi
Nurse Practitioner
NPI 1881112175
225 W JERSEY ST
Elizabeth, NJ 07202
(908) 353-1220
✔ PECOS✔ Accepts Medicare7.1 mi
Nurse Practitioner
NPI 1417678798
121 PROSPECT ST
Passaic, NJ 07055
(973) 777-3006
✔ PECOS✔ Accepts Medicare7.4 mi
Family Practice
NPI 1881386795
176 PALISADE AVE
Jersey City, NJ 07306
(201) 795-8200
✔ PECOS✔ Accepts Medicare7.5 mi
Internal Medicine
NPI 1396125381
355 GRAND ST
Jersey City, NJ 07302
(347) 387-6910
✔ PECOS7.9 mi
Clinical Social Worker
NPI 1124626908
1157 MAIN AVE
Clifton, NJ 07011
(973) 341-9869
✔ PECOS✔ Accepts Medicare8.2 mi
Diagnostic Radiology
NPI 1629021779
141 WASHINGTON ST
Lodi, NJ 07644
(201) 658-8031
✔ PECOS✔ Accepts Medicare9.5 mi
See all 50 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2131565

Roseville Medical Group · Newark, NJ
Active · expires May 31, 2027
CLIA Number31D2131565
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorAlexander Salerno
Laboratory Phone(973) 482-7245
Laboratory LocationRoseville Medical Group346 Roseville Avenue, Newark, NJ 07107
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Roseville Medical Society LLC's NPI number?

The NPI number for Roseville Medical Society LLC is 1275168320. It was assigned to this organization in the NPPES registry on March 10, 2020.

Where is Roseville Medical Society LLC located?

Roseville Medical Society LLC is located at 346 Roseville Ave, Newark, NJ 07107. The listed phone number is (973) 482-7245.

What is Roseville Medical Society LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Roseville Medical Society LLC enrolled in Medicare?

Yes. Roseville Medical Society LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roseville Medical Society LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 50 clinicians in 12 Medicare specialties reassign their Medicare billing to Roseville Medical Society LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (17), Family Practice (9) and Internal Medicine (7). Of these, 26 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Roseville Medical Society LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2131565) is associated with this NPI, valid through May 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Roseville Medical Society LLC was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.