Individual provider Active NPI

Paloma Salam, O.D.

  • Optometrist
  • Glenville, NY
National Provider Identifier
1528488335
Registry record updated May 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008081 Issued in NY
Practice address
9 Gleason Rd
Glenville, NY 12302-5307
Phone
(518) 399-6368
Fax
(518) 399-6372
NPI assigned
Apr 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008081 NY Primary

Addresses

Primary practice location

9 Gleason Rd
Glenville, NY 12302-5307

Mailing address

9 Gleason Rd
Glenville, NY 12302-5307
Phone (518) 399-6368

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140617001891 NY Practitioner - Optometry 3476777236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9 Gleason Rd
Glenville, NY 12302-5307
Phone (518) 399-6368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008081NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Michael Cusma, OD Optometrist CurrentSince Jul 1, 2019 Accepting new patients
Paloma Salam OD P.C. Optometrist CurrentSince Sep 27, 2017 Accepting new patients

Locations

9 Gleason Rd
Scotia, NY 12302
Phone (518) 384-0562

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": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716595200000",
    "number": "1528488335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GLEASON RD",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123025307",
            "telephone_number": "518-399-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 GLEASON RD",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123025307",
            "telephone_number": "518-399-6368",
            "fax_number": "518-399-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAM",
        "first_name": "PALOMA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenville, NY

Sources for this page

Verify at the official NPI Registry.