Organization Active NPI

Sanna Salam Medical PC

  • Internal Medicine Physician
  • Woodside, NY
National Provider Identifier
1689510018
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SANNA SALAM MEDICAL PC
Practice address
6417 Broadway
Woodside, NY 11377-2336
Phone
(917) 238-6594
Fax
(978) 307-5724
NPI assigned
Apr 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Sanna Salam, MDNPI 1396324547
Title
President
Phone
(917) 238-6594

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6417 Broadway
Woodside, NY 11377-2336

Mailing address

17415 Jewel Ave
Fresh Meadows, NY 11365-3425
Phone (917) 238-6594

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1689510018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17415 JEWEL AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653425",
            "telephone_number": "917-238-6594",
            "fax_number": "978-307-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 BROADWAY",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772336",
            "telephone_number": "917-238-6594",
            "fax_number": "978-307-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANNA SALAM MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "SALAM",
        "authorized_official_first_name": "SANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-238-6594",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.