East Meadow Walk in & Primary Medical Care PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EAST MEADOW WALK IN & PRIMARY MEDICAL CARE PLLC

Practice address

1620 Front St
East Meadow, NY 11554-2349

Phone

(516) 505-1010

Fax

(516) 505-3700

NPI assigned

Oct 5, 2010

Last updated

Dec 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tarek Sallam, M.D.NPI 1235235565

Title

Owner

Phone

(516) 505-1010

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tarek Sallam, MD

  • Internal Medicine Physician
  • East Meadow, NY
  • NPI 1235235565
  Authorized official Same address or phone

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1265741516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 FRONT ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542349",
            "telephone_number": "516-505-1010",
            "fax_number": "516-505-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 FRONT ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542349",
            "telephone_number": "516-505-1010",
            "fax_number": "516-505-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MEADOW WALK IN & PRIMARY MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "SALLAM",
        "authorized_official_first_name": "TAREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-505-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01627148",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Meadow Hearing Care Audiology, P.C. (East Meadow Hearing & Speech Center)
• East Meadow Medical PC
• East Meadow PT & Chiropractic PLLC (East Meadow PTDC)
• East Meadow RX Inc
• East Meadow U.F.S.D.
• East Meadow Wellness Inc
• Joan Gay Easton, MD
• Ebm Pharmacy Inc (EBM Pharmacy & Surgical)
• Yasmin Edwin
• Kristian Efremov, MD

• Internal Medicine Physician in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.