Active NPI
Nidal Zahi Salameh
- General Practice Dentistry
- New York, NY
National Provider Identifier
1043691157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 058508-1
- Practice address
- 2127 1St Ave
New York, NY 10029-3339 - Phone
- (212) 426-8202
- Fax
- (212) 426-6802
- NPI assigned
- Jun 15, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 058508-1 | NY | |
| General Practice Dentistry | 1223G0001X | 058508-1 | NY | Primary |
Addresses
Primary practice location
2127 1St Ave
New York, NY 10029-3339
Mailing address
2634 West St Apt 6E
Brooklyn, NY 11223-6437
Phone (703) 626-6975
Other practice location 1
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (703) 626-6975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058508-1 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nidal Salameh DDS PC | General Practice | Current | Accepting new patients |
| P&R Executive Dental Management Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- New York, NY
- NPI 1932453172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1043691157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2634 WEST ST APT 6E",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112236437",
"telephone_number": "703-626-6975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2127 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100293339",
"telephone_number": "212-426-8202",
"fax_number": "212-426-6802"
}
],
"practiceLocations": [
{
"address_1": "2601 Ocean Pkwy",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112357745",
"country_code": "US",
"telephone_number": "703-626-6975",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALAMEH",
"first_name": "NIDAL",
"middle_name": "ZAHI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "058508-1",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "058508-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.