NPIMap

Individual provider Active NPI

Michael Salamatbad, D.O.

  • Family Medicine Physician
  • Great Neck, NY
National Provider Identifier
1316104086
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2494051 Issued in NY
Practice address
212 Middle Neck Rd
Suite 7
Great Neck, NY 11021-1136
Phone
(516) 319-1274
NPI assigned
May 20, 2008
Last updated
Dec 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2494051 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X 2494051 NY

Addresses

Primary practice location

212 Middle Neck Rd
Suite 7
Great Neck, NY 11021-1136

Mailing address

212 Middle Neck Rd
Suite 7
Great Neck, NY 11021-1136
Phone (516) 319-1274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090611000403 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 3274683388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3900 Sunrise Hwy
Seaford, NY 11783-2641
Phone (516) 797-1800

491 Middle Neck Rd
Great Neck, NY 11023-1470
Phone (516) 439-5060

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2494051NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Salamatbad D.O. PC CurrentSince Jan 1, 2013 Accepting new patients
St. Francis Hospital Past Accepting new patients
Rockapulco Medical Assoc PC Past Accepting new patients
Jennifer Smith Psychologist PC Past Accepting new patients
North Shore University Hospital Past Accepting new patients
Sunrise Chiropractic PC Past Accepting new patients

Locations

212 Middle Neck Rd
Ste 7
Great Neck, NY 11021
Phone (718) 490-0557

491 Middle Neck Rd
Great Neck, NY 11023
Phone (516) 439-5060

615 Middle Neck Rd
#B
Great Neck, NY 11023
Phone (516) 439-5060

3900 Sunrise Hwy
Seaford, NY 11783
Phone (516) 797-1800

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21626/brand/2/csg/1/fhir/r4

Organizations & group practices 6

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 4

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1316104086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MIDDLE NECK RD",
            "address_2": "SUITE 7",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211136",
            "telephone_number": "516-319-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MIDDLE NECK RD",
            "address_2": "SUITE 7",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211136",
            "telephone_number": "516-319-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMATBAD",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "2494051",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "2494051",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.