Since Salerno Medical Associates opened in 2001, Dr. Alexander G. Salerno has been expanding services for clients to meet various healthcare needs in the community. He brought back the traditional house calls for older patients through Senior Healthcare Outreach Program (SHOP) in 2002, which later became Community Healthcare Outreach Program (CHOP Health) to include services for people with mental health issues. In 2010, Dr. Salerno started the Urban Healthcare Initiative Program (UHIP) to help close disparities in healthcare outcomes impacting patients in urban communities.
Metropolitan Medical Group was founded in 2014 to expand primary care services, and Dr. Salerno joined his father-in-law, Dr. Raouf Elias, in 2015 to assist him in caring for patients at Roseville Medical Society. In 2021, several specialty care practices were added to offer patients much-needed services to patients in the community. These specialty locations include Newark Vein and Vascular Center, North Ward Behavioral Health Center, and Prospect Spine and Pain.