Individual provider Active NPI

Paul Salib, MD, DO

  • Interventional Pain Medicine Physician
  • Jamaica, NY
National Provider Identifier
1780119404
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
329191 Issued in NY
Practice address
17119 Hillside Ave
Jamaica, NY 11432-4548
Phone
(718) 400-7000
Fax
(718) 400-7001
NPI assigned
May 1, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 329191 NY Primary
Acupuncturist 171100000X 329191 NY
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 329191 NY
Student in an Organized Health Care Education/Training Program 390200000X OS22114 FL
Neuromusculoskeletal Medicine & OMM Physician 204D00000X OS22114 FL

Addresses

Primary practice location

17119 Hillside Ave
Jamaica, NY 11432-4548

Mailing address

35 Hicks Ave
Syosset, NY 11791-5840
Phone (714) 553-3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX, MI, NY, FL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20220912002336 PA Practitioner - General Practice 7113302134 Reassigns benefits to 2 organizations
I20231019000094 TX Practitioner - General Practice 7113302134 Reassigns benefits to 2 organizations
I20240517000190 MI Practitioner - General Practice 7113302134 Reassigns benefits to 1 organization
I20251231002556 NY Practitioner - General Practice 7113302134 Reassigns benefits to 2 organizations
I20260114000022 FL Practitioner - General Practice 7113302134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ballout International PLLCGroup PAC ID 5890045256, 48 clinicians

Practice addresses (Care Compare)

7173 Cypress Dr
Fort Myers, FL 33907-2938
Phone (321) 387-9451

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS22114FLMDNeuromusculoskeletal Medicine & OMM Physician
329191NYMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC General Practice CurrentSince Apr 2, 2024 Accepting new patients
Vpa of Texas PLLC General Practice Current Accepting new patients
Afra Health Inc General Practice CurrentSince Jun 1, 2022 Accepting new patients
Vpa of Texas PLLC CurrentSince Apr 2, 2024 Accepting new patients
Dr. Paul Salib DO Medical P.C. Interventional Pain Medicine CurrentSince Sep 15, 2024 Accepting new patients
Brookview Medical Associates, PLLC General Practice CurrentSince Dec 1, 2025 Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

17119 Hillside Ave
Jamaica, NY 11432
Phone (718) 400-7000

301 E Macdade Blvd
Folsom, PA 19033
Phone (856) 866-6944

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Organizations & group practices 8

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": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1780119404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HICKS AVE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915840",
            "telephone_number": "714-553-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17119 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324548",
            "telephone_number": "718-400-7000",
            "fax_number": "718-400-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIB",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD, DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-01",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "329191",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "329191",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "329191",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "OS22114",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "OS22114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.