Individual provider Active NPI

Salah M Mesad, MD

  • Neurology Physician
  • White Plains, NY
National Provider Identifier
1053390872
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA09487000 Issued in NJ
Practice address
333 Westchester Ave
Suite 104E
White Plains, NY 10604-2910
Phone
(914) 428-9213
Fax
(914) 428-9282
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 80018731 NY
Neurology Physician 2084N0400X 25MA09487000 NJ Primary

Addresses

Primary practice location

333 Westchester Ave
Suite 104E
White Plains, NY 10604-2910

Mailing address

690 N Broadway
Suite 102
White Plains, NY 10603-2417
Phone (914) 428-3651

Other identifiers 1

IdentifierTypeStateIssuer
0193960MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071115000596 NY Practitioner - Neurology 0941398580 Reassigns benefits to 1 organization
I20140826000375 NJ Practitioner - Neurology 0941398580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
90
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
80018731NYMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epilepsy & Neurophysiology Medical Consultants PA Neurology CurrentSince May 31, 2014 Accepting new patients
Epilepsy & Neurophysiology Medical Consultants, PA Neurology CurrentSince May 31, 2014 Accepting new patients
Epilepsy & Neurophysiology Medical Consulting PC Neurology CurrentSince Aug 30, 2009 Accepting new patients
Montefiore North Ambulatory Care Center Inc Past Accepting new patients
Richmond University Medical Center Past Accepting new patients

Locations

20 Prospect Ave
Ste 800
Hackensack, NJ 07601
Phone (201) 343-6676

2 Capital Way
Fl 2
Pennington, NJ 08534
Phone (908) 522-4990

737 Castleton Ave
Staten Island, NY 10310
Phone (718) 655-6595

690 N Broadway
Rear GL1
White Plains, NY 10603

333 Westchester Ave
Ste E104
White Plains, NY 10604
Phone (914) 428-9213

690 N Broadway
Ste 102
White Plains, NY 10603

6907 43rd Ave
Ste C2
Woodside, NY 11377
Phone (718) 830-3772

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1053390872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 N BROADWAY",
            "address_2": "SUITE 102",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106032417",
            "telephone_number": "914-428-3651",
            "fax_number": "914-428-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WESTCHESTER AVE",
            "address_2": "SUITE 104E",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042910",
            "telephone_number": "914-428-9213",
            "fax_number": "914-428-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESAD",
        "first_name": "SALAH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NY",
            "license": "80018731",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA09487000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0193960",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.