NPIMap

Organization Active NPI

Salem Internal Medicine P.C.

  • Internal Medicine Physician
  • Carneys Point, NJ
National Provider Identifier
1437219730
Registry record updated Jul 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04351500 Issued in NJ
Legal business name
SALEM INTERNAL MEDICINE P.C.
Practice address
316 Merion Ave
Carneys Point, NJ 08069-3400
Phone
(856) 299-0345
Fax
(856) 299-9438
NPI assigned
Dec 10, 2006
Last updated
Jul 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2007

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

Authorized official

Name
Dr. Mohamed M Salem, M.D.
Title
President
Phone
(856) 299-4006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 25MA04351500 NJ Primary

Addresses

Primary practice location

316 Merion Ave
Carneys Point, NJ 08069-3400

Mailing address

316 Merion Ave
Carneys Point, NJ 08069-3400
Phone (856) 299-0345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050331000775 NJ Part B Supplier - Clinic/Group Practice 6406803584 Receives reassigned benefits from 7 practitioners
Practice locations: Carneys Point, NJ

National Provider Directory

National Provider Directory

Locations

316 Merion Ave
Penns Grove, NJ 08069
Phone (609) 299-0345

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184371200000",
    "number": "1437219730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MERION AVE",
            "city": "CARNEYS POINT",
            "state": "NJ",
            "postal_code": "080693400",
            "telephone_number": "856-299-0345",
            "fax_number": "856-299-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MERION AVE",
            "city": "CARNEYS POINT",
            "state": "NJ",
            "postal_code": "080693400",
            "telephone_number": "856-299-0345",
            "fax_number": "856-299-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM INTERNAL MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-10",
        "last_updated": "2007-07-14",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-299-4006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04351500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carneys Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.