Individual provider Active NPI

Salem Shihadeh, MD

  • Internal Medicine Physician
  • Belleville, NJ
National Provider Identifier
1073197778
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA12023400 Issued in NJ
Practice address
36 Newark Ave Ste 300
Belleville, NJ 07109-4122
Phone
(973) 759-6896
NPI assigned
May 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 25MA12023400 NJ
Hospitalist Physician 208M00000X 25MA12023400 NJ
Internal Medicine Physician 207R00000X 25MA12023400 NJ Primary

Addresses

Primary practice location

36 Newark Ave Ste 300
Belleville, NJ 07109-4122

Mailing address

358 Lafayette Ave Apt 1
Cliffside Park, NJ 07010-2014
Phone (201) 364-3505

Other practice location 1

29 E 29th St
Bayonne, NJ 07002-4695
Phone (201) 858-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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
I20240403003961 NJ Practitioner - Internal MedicinePractitioner - HospitalistPractitioner - General Practice 0941659890 Reassigns benefits to 4 organizations
I20240905001914 PA Practitioner - Internal Medicine 0941659890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians
Passaic Hospitalist Services, LLCGroup PAC ID 8426404484, 30 clinicians

Practice addresses (Care Compare)

36 Newark Ave
Suite 300
Belleville, NJ 07109-4122
Phone (973) 759-6896

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA12023400NJMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC General Practice CurrentSince May 6, 2024 Accepting new patients
Plover Inpatient Services LLC Internal Medicine CurrentSince May 1, 2025 Accepting new patients
Pennsylvania Hospitalist Group, LLC Hospitalist CurrentSince Aug 20, 2024 Accepting new patients
Passaic Hospitalist Services, LLC Hospitalist CurrentSince Mar 1, 2024 Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients
Daniel Korya MD LLC Past Accepting new patients

Locations

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

36 Newark Ave
Ste 300
Belleville, NJ 07109
Phone (973) 751-7322

310 Central Ave
Ste 100
East Orange, NJ 07018
Phone (862) 520-3104

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

2 Journal Square Plz
Ste 2
Jersey City, NJ 07306
Phone (201) 963-7000

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 436-5478

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1620518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1073197778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 LAFAYETTE AVE APT 1",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102014",
            "telephone_number": "201-364-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 NEWARK AVE STE 300",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071094122",
            "telephone_number": "973-759-6896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 E 29th St",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "070024695",
            "country_code": "US",
            "telephone_number": "201-858-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIHADEH",
        "first_name": "SALEM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-09",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA12023400",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MA12023400",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA12023400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

Verify at the official NPI Registry.