Individual provider Active NPI

Mame Salim

  • Social Worker
  • Buffalo, NY
National Provider Identifier
1366108136
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
115705 Issued in NY
Practice address
77 Broadway St
Buffalo, NY 14203-1642
Phone
(716) 834-6401
NPI assigned
Nov 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 115705 NY Primary

Addresses

Primary practice location

77 Broadway St
Buffalo, NY 14203-1642

Mailing address

55 Dodge Rd
Getzville, NY 14068-1205
Phone (716) 831-2700

Other practice location 1

28 N Country Rd
Mount Sinai, NY 11766-1518
Phone (888) 975-2256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
115705NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Services Inc CurrentSince Aug 7, 2022 Accepting new patients
Mid Erie PastSince Nov 1, 2021 Accepting new patients

Locations

77 Broadway St
Buffalo, NY 14203
Phone (716) 834-6401

55 Dodge Rd
Getzville, NY 14068
Phone (716) 650-5100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEGDAA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1366108136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 DODGE RD",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681205",
            "telephone_number": "716-831-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BROADWAY ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031642",
            "telephone_number": "716-834-6401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 N Country Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Sinai",
            "state": "NY",
            "postal_code": "117661518",
            "country_code": "US",
            "telephone_number": "888-975-2256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALIM",
        "first_name": "MAME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "115705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.