JACOB SALAMON
NPI 1356980411
Social Worker in Monsey, NY

Active since January 06, 2020PECOS Enrolled
20 ROBERT PITT DR, MONSEY, NY 10952(845) 352-6800 Get Directions Write a Review

NPPES record last updated: January 6, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacob Salamon NPPES

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

JACOB SALAMON (NPI 1356980411) is an individual social worker in Monsey, New York and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1356980411
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameJACOB SALAMON
Location Address20 ROBERT PITT DRMonsey, NY 10952-3330
Mailing Address25 Mangin RdMonroe, NY 10950-2202 · (845) 782-2386
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 6, 2020
✔ NPI 1356980411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
20 ROBERT PITT DR, Monsey, NY 10952

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Salamon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032655121
PECOS Enrollment IDI20240725000631
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jacob Salamon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Case Management
75 MONTEBELLO RD
Suffern, NY 10901
  • Reassigned Medicare billing, New York enrollment
  • 15 clinicians in this Medicare group
Case Management
465 GRAND ST, SECOND FLOOR
New York, NY 10002
  • Reassigned Medicare billing, New York enrollment
  • 56 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
20 ROBERT PITT DR
MONSEY, NY 10952
Psychologist (Clinical)
20 ROBERT PITT DR, UNIT 209
MONSEY, NY 10952
Psychologist
20 ROBERT PITT DR, UNIT 209
MONSEY, NY 10952
Occupational Therapy Assistant
20 ROBERT PITT DR
MONSEY, NY 10952
Occupational Therapist
20 ROBERT PITT DR
MONSEY, NY 10952
Counselor (Mental Health)
20 ROBERT PITT DR
MONSEY, NY 10952
Social Worker
20 ROBERT PITT DR
MONSEY, NY 10952
Speech-Language Pathologist
20 ROBERT PITT DR
MONSEY, NY 10952

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 Jacob Salamon's NPI number?

The NPI number for Jacob Salamon is 1356980411. It was assigned to this individual provider in the NPPES registry on January 6, 2020.

Where is Jacob Salamon located?

Jacob Salamon practices at 20 Robert Pitt Dr, Monsey, NY 10952. The listed phone number is (845) 352-6800.

What is Jacob Salamon's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jacob Salamon enrolled in Medicare?

Yes. Jacob Salamon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacob Salamon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Salamon reassigns Medicare benefits to 2 organizations: The Derech Shalom Center Inc (Suffern, NY) and Community Assistance Resources & Extended Services Inc (New York, NY). Each 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 Jacob Salamon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Salamon was last updated on January 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.