Active NPI
Salman Abbasifard, MD
- Student in an Organized Health Care Education/Training Program
- Chicago, IL
National Provider Identifier
1891409652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- P118883
- Practice address
- 5841 S Maryland Ave Ste J-341
Chicago, IL 60637-1443 - Phone
- (773) 834-0685
- NPI assigned
- Jan 6, 2023
- Last updated
- May 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | P118883 | NY | Primary |
Addresses
Primary practice location
5841 S Maryland Ave Ste J-341
Chicago, IL 60637-1443
Mailing address
1645 Grand Concourse
Bronx, NY 10452-5810
Phone (718) 960-1216
Other practice location 1
1645 Grand Concourse
Bronx, NY 10452-5810
Phone (718) 960-1216
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P118883 | NY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1891409652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1645 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104525810",
"telephone_number": "718-960-1216",
"fax_number": "718-579-2644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE STE J-341",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371443",
"telephone_number": "773-834-0685"
}
],
"practiceLocations": [
{
"address_1": "1645 Grand Concourse",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104525810",
"country_code": "US",
"telephone_number": "718-960-1216",
"fax_number": "718-579-2644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABBASIFARD",
"first_name": "SALMAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-06",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "P118883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.