Individual provider Active NPI

Ahmad Salloum, M.D.

  • Cardiovascular Disease Physician
  • Brick, NJ
National Provider Identifier
1205816717
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA07386 Issued in NJ
Practice address
459 Jack Martin Blvd Ste 2
Brick, NJ 08724-7724
Phone
(732) 458-6200
Fax
(732) 458-9464
NPI assigned
Jan 19, 2006
Last updated
May 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA07386 NJ Primary
Nuclear Cardiology Physician 207UN0901X MA07386 NJ

Addresses

Primary practice location

459 Jack Martin Blvd Ste 2
Brick, NJ 08724-7724

Mailing address

459 Jack Martin Blvd
Ste 4
Brick, NJ 08724-7724
Phone (732) 458-6200

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
I20050420000826 NJ Practitioner - Cardiovascular Disease (Cardiology) 3375581374 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Cardiovascular Consultants, PAGroup PAC ID 0042223778, 7 clinicians
Ea Health - New Jersey LLCGroup PAC ID 6103222039, 37 clinicians
Meridian Cardiovascular Interpretive Services PCGroup PAC ID 8527012236, 60 clinicians

Practice addresses (Care Compare)

1930 State Route 35
Suite 3
Wall Township, NJ 07719-3538
Phone (732) 974-8800

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 840-2200

459 Jack Martin Blvd
Suite 2
Brick, NJ 08724-7724
Phone (732) 458-6200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.85 of 100Reported as group
Quality
99.78
Improvement activities
40
Cost
66.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA07386NJMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ea Health - New Jersey LLC CurrentSince Mar 1, 2023 Accepting new patients
Meridian Cardiovascular Interpretive Services PC Cardiovascular Disease CurrentSince Feb 26, 2015 Accepting new patients
Coastal Cardiovascular Consultants, PA Cardiovascular Disease CurrentSince Aug 1, 2002 Accepting new patients

Locations

459 Jack Martin Blvd
Ste 2
Brick, NJ 08724
Phone (732) 458-6200

459 Jack Martin Blvd
Ste 4
Brick, NJ 08724
Phone (732) 747-7077

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

1930 State Route 35
Ste 3
Wall Township, NJ 07719
Phone (732) 359-7060

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

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

459 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 458-6200

Interoperability endpoints

  • Direct secure messaging: ahmad.salloum.p1@direct.ccc.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/24659/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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 6

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1205816717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 JACK MARTIN BLVD",
            "address_2": "STE 4",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247724",
            "telephone_number": "732-458-6200",
            "fax_number": "732-458-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 JACK MARTIN BLVD STE 2",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247724",
            "telephone_number": "732-458-6200",
            "fax_number": "732-458-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLOUM",
        "first_name": "AHMAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA07386",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NJ",
            "license": "MA07386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.