Individual provider Active NPI

Salema Shirelle Griffith

  • Specialist
  • Port Jefferson Station, NY
National Provider Identifier
1679121107
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
619334121 Issued in NY
Practice address
299 Hallock Ave
Port Jefferson Station, NY 11776-1217
Phone
(631) 473-4284
NPI assigned
Aug 28, 2019
Reactivated
Sep 3, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 619334121 NY Primary

Addresses

Primary practice location

299 Hallock Ave
Port Jefferson Station, NY 11776-1217

Mailing address

11 Chance PL
West Babylon, NY 11704-6409
Phone (718) 813-6294

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sgriffith4@schools.nyc.gov NYC DOE
Direct Messaging Address sgriffith4@schools.nyc.gov Direct NYC DOE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
619334121NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1679121107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CHANCE PL",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046409",
            "telephone_number": "718-813-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 HALLOCK AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761217",
            "telephone_number": "631-473-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "SALEMA",
        "middle_name": "SHIRELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2026-09-03",
        "certification_date": "2020-12-01",
        "deactivation_date": "2020-12-01",
        "reactivation_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "619334121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgriffith4@schools.nyc.gov",
            "affiliation": "Y",
            "affiliationName": "NYC DOE",
            "address_1": "441 Lake St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112234639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgriffith4@schools.nyc.gov",
            "affiliation": "Y",
            "affiliationName": "NYC DOE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "employee email",
            "address_1": "12802 7th Ave",
            "city": "College Point",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113561218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.