Samer Abu Salem, MD

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

P129349 Issued in NY

Practice address

1275 York Ave Apt 36L
New York, NY 10065-6094

Phone

(646) 596-2009

NPI assigned

Aug 6, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1366272189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E 63RD ST APT 36L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657933",
            "telephone_number": "646-596-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE APT 36L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656094",
            "telephone_number": "646-596-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABU SALEM",
        "first_name": "SAMER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "P129349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Absalon, MD
• Renee Judith Abt, M.D.
• Ali Mahmoud Abu Al Hummos, MD
• Arsalan Abu Much, MD
• Tala Abu Rahma
• Ghaith Farid Abu Zeinah, M.D.
• Nadeem R Abu-Rustum, MD
• Raya Abu-Zahra, DDS
• Rana Abualsaud, M.D.
• Rana Abuamouneh, LCSW

• All providers in New York, NY
• Colon & Rectal Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.