Nidal Salameh DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

058508 Issued in NY

Legal business name

NIDAL SALAMEH DDS PC

Practice address

2200 85TH St Apt 1a
Brooklyn, NY 11214-3351

Phone

(718) 236-1165

Fax

(347) 521-2363

NPI assigned

Apr 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Nidal Zahi Salameh, DDSNPI 1043691157

Title

Dentist

Phone

(718) 236-1165

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• New Leaf Dental Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Nidal Zahi Salameh

  • General Practice Dentistry
  • New York, NY
  • NPI 1043691157
  Medicare reassignment NPD Authorized official
• Yefim Trif, DDS

  • Dentist
  • Brooklyn, NY
  • NPI 1639360316
  NPD (past)

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1104323971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 85TH ST APT 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143351",
            "telephone_number": "718-236-1165",
            "fax_number": "347-521-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 85TH ST APT 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143351",
            "telephone_number": "718-236-1165",
            "fax_number": "347-521-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIDAL SALAMEH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "SALAMEH",
        "authorized_official_first_name": "NIDAL",
        "authorized_official_middle_name": "ZAHI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-236-1165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058508",
            "primary": true
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04516758",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Leaf Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natasha C Nicome, OTR/L
• Nicole Nicome, MD
• Xystus B Nicome, PHARMACIST
• Melissa J Nicosia Kurian, M.D.
• Diane Elizabeth Nicosia I, RPH
• Flora Niderman, DDS
• Thresiamma Nidhiry, MD
• Larisa Nido
• Sanjana Nidugondi, LMSW
• Nie Lina MD PC

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.