Individual provider Active NPI

Salma Gene, PA

  • Medical Physician Assistant
  • Valley Stream, NY
National Provider Identifier
1417196874
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
012847 Issued in NY
Practice address
10 E Merrick Rd
Suite 207
Valley Stream, NY 11580-5800
Phone
(516) 256-2017
NPI assigned
Feb 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 012847 NY Primary

Addresses

Primary practice location

10 E Merrick Rd
Suite 207
Valley Stream, NY 11580-5800

Mailing address

10 E Merrick Rd
Suite 207
Valley Stream, NY 11580-5800
Phone (516) 256-2017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170421000053 NY Order and Referring Only - Physician Assistant 1153607403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1417196874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E MERRICK RD",
            "address_2": "SUITE 207",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805800",
            "telephone_number": "516-256-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E MERRICK RD",
            "address_2": "SUITE 207",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805800",
            "telephone_number": "516-256-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENE",
        "first_name": "SALMA",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "012847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.