Individual provider Active NPI

Salmahn Ahmed Alam

  • Child & Adolescent Psychiatry Physician
  • East Brunswick, NJ
National Provider Identifier
1174889208
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
25MA12021900 Issued in NJ
Practice address
645 Route 18 Ste 5
East Brunswick, NJ 08816-3760
Phone
(888) 244-5373
NPI assigned
Apr 3, 2012
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 278360 NY
Psychiatry Physician 2084P0800X 25MA12021900 NJ
Child & Adolescent Psychiatry Physician 2084P0804X 25MA12021900 NJ Primary

Addresses

Primary practice location

645 Route 18 Ste 5
East Brunswick, NJ 08816-3760

Mailing address

645 Route 18 Ste 5
East Brunswick, NJ 08816-3760
Phone (888) 244-5373

Other practice location 1

10 Nathan D Perlman Pl
New York, NY 10003-3841
Phone (212) 420-4698

Other practice location 2

317 E 17th St
9th Floor
New York, NY 10003-3804
Phone (212) 420-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240507003299 NJ Practitioner - Psychiatry 3971848870 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA12021900NJMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Specialized Hospital CurrentSince Apr 22, 2024 Accepting new patients
Children' Specialized Hospital CurrentSince Apr 22, 2024 Accepting new patients

Locations

645 State Route 18
Ste 5
East Brunswick, NJ 08816

150 New Providence Rd
Mountainside, NJ 07092

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1174889208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 ROUTE 18 STE 5",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163760",
            "telephone_number": "888-244-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 ROUTE 18 STE 5",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163760",
            "telephone_number": "888-244-5373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Nathan D Perlman Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033841",
            "country_code": "US",
            "telephone_number": "212-420-4698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 E 17th St",
            "address_2": "9th Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033804",
            "country_code": "US",
            "telephone_number": "212-420-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALAM",
        "first_name": "SALMAHN",
        "middle_name": "AHMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "278360",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA12021900",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA12021900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.