Individual provider Active NPI

M Hani Salam, MD

  • Family Medicine Physician
  • East Patchogue, NY
National Provider Identifier
1427067644
Registry record updated Nov 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
207811 Issued in NY
Practice address
801 Gazzola Dr
East Patchogue, NY 11772-4900
Phone
(631) 972-8109
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 207811 NY Primary

Addresses

Primary practice location

801 Gazzola Dr
East Patchogue, NY 11772-4900

Mailing address

PO Box 846
East Setauket, NY 11733-0656
Phone (631) 972-8109

Other identifiers 1

IdentifierTypeStateIssuer
01770227MedicaidNY

Other names 1

  • Mohamed H Abdel Salam Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401000471 NY Practitioner - Family Practice 4284626094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

76 Southaven Ave
Suite 5
Medford, NY 11763-3745
Phone (631) 447-8860

Hospital & facility affiliations

  • Medford Multicare Center For Living Nursing home, Medford, NY, CCN 335840
  • Brookhaven Health Care Facility, LLC Nursing home, East Patchogue, NY, CCN 335694

Merit-based Incentive Payment System (MIPS)

Final score
92.78 of 100Reported as individual
Quality
74.1
Improvement activities
40
Cost
77.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207811NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Island Medical Care PC Family Medicine CurrentSince Aug 1, 1997 Accepting new patients
Nursing Care Center at Medford Inc Past Accepting new patients
Brookhaven Health Care Facility LLC Past Accepting new patients
Quantum Rehabilitation and Nursing LLC Past Accepting new patients

Locations

801 Gazzola Dr
East Patchogue, NY 11772
Phone (631) 447-8800

76 Southaven Ave
Ste 5
Medford, NY 11763
Phone (631) 447-8860

44 Medford Ave
Patchogue, NY 11772
Phone (631) 447-6060

Interoperability endpoints

  • Direct secure messaging: msalam368115@northwell.direct-ci.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: msalam504307@nyumc.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763164800000",
    "number": "1427067644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117330656",
            "telephone_number": "631-972-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 GAZZOLA DR",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724900",
            "telephone_number": "631-972-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAM",
        "first_name": "M HANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-11-15",
        "certification_date": "2025-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "207811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01770227",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMED",
            "last_name": "ABDEL SALAM",
            "middle_name": "H",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Patchogue, NY

Sources for this page

Verify at the official NPI Registry.