Organization Active NPI

Paloma Salam OD P.C.

  • Optometrist
  • Schenectady, NY
National Provider Identifier
1033671979
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PALOMA SALAM OD P.C.
Practice address
9 Gleason Rd
Schenectady, NY 12302-5307
Phone
(518) 399-6368
Fax
(518) 399-6372
NPI assigned
Apr 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paloma Salam, ODNPI 1528488335
Title
President
Phone
(518) 399-6368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

9 Gleason Rd
Schenectady, NY 12302-5307

Mailing address

9 Gleason Rd
Schenectady, NY 12302-5307
Phone (917) 604-0219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190613001228 NY Part B Supplier - Clinic/Group Practice 9931432507 Receives reassigned benefits from 1 practitioner
Practice locations: Glenville, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1033671979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GLEASON RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123025307",
            "telephone_number": "917-604-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 GLEASON RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123025307",
            "telephone_number": "518-399-6368",
            "fax_number": "518-399-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOMA SALAM OD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "SALAM",
        "authorized_official_first_name": "PALOMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-399-6368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.