Active NPI
Mohammad Abdus Salam, M.D.
- Pediatric Anesthesiology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- 267089
- Practice address
- 450 Clarkson Ave
Suny Downstate Medical Center, Dept. of Anesthesiology
Brooklyn, NY 11203-2012 - Phone
- (718) 270-1926
- Fax
- (718) 270-3977
- NPI assigned
- Mar 19, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Anesthesiology Physician | 207LP3000X | 267089 | NY | Primary |
Addresses
Primary practice location
450 Clarkson Ave
Suny Downstate Medical Center, Dept. of Anesthesiology
Brooklyn, NY 11203-2012
Mailing address
450 Clarkson Ave
Suny Downstate Medical Center, Dept. of Anesthesiology
Brooklyn, NY 11203-2012
Phone (718) 270-2331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04502232 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 280-1707
Hospital & facility affiliations
- Suny/Downstate University Hospital of Brooklyn
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267089 | NY | MD | Pediatric Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians of Brooklyn, Inc. | Current | Accepting new patients | |
| Harlem Medical Associates PC | Current | Accepting new patients | |
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Parkway Anesthesia Associates LLC | Current | Accepting new patients | |
| Coney Island Medical Practice Plan, P.C. | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc | Current | Accepting new patients | |
| KRS Medical Services, PLLC | Current | Accepting new patients |
Locations
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603
450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481
322 Linden Blvd
Brooklyn, NY 11226
Phone (718) 230-7788
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- msalam682151@nychhc.direct-ci.com
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1104878180
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
-
- General Practice Physician
- New York, NY
- NPI 1487957692
-
- Endoscopy Clinic/Center
- Brooklyn, NY
- NPI 1912334103
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Anesthesiology Physician
- North Bergen, NJ
- NPI 1518319755
-
- Child & Adolescent Psychiatry Physician
- Brooklyn, NY
- NPI 1689715476
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1639179328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590710400000",
"number": "1134494495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE",
"address_2": "SUNY DOWNSTATE MEDICAL CENTER, DEPT. OF ANESTHESIOLOGY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032012",
"telephone_number": "718-270-2331",
"fax_number": "718-270-3977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE",
"address_2": "SUNY DOWNSTATE MEDICAL CENTER, DEPT. OF ANESTHESIOLOGY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032012",
"telephone_number": "718-270-1926",
"fax_number": "718-270-3977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAM",
"first_name": "MOHAMMAD",
"middle_name": "ABDUS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-19",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "NY",
"license": "267089",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04502232",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.