Salem Medical Office PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

190445-1 Issued in NY

Legal business name

SALEM MEDICAL OFFICE PC

Practice address

15615 35TH Ave
Flushing, NY 11354-5015

Phone

(718) 463-6134

NPI assigned

Aug 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chung Ki Ha, M.D.

Title

President

Phone

(718) 463-6134

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Chung Ki Ha, MD

  • Gastroenterology Physician
  • Flushing, NY
  • NPI 1871653782
  Medicare reassignment NPD
• Muhammad Iqbal, MD

  • Anesthesiology Physician
  • Roslyn, NY
  • NPI 1306868567
  NPD (past)

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1912199613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15615 35TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545015",
            "telephone_number": "718-463-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15615 35TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545015",
            "telephone_number": "718-463-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM MEDICAL OFFICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "CHUNG KI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-463-6134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "190445-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01727724",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Alexandra Salazar Cueva
• Lea Gail Salazar
• Oscar Salazar, RD
• Pierre Frank Saldinger, M.D.
• Mustafa Salehmohamed, D.O.
• Fady Salha, DMD
• Perfecto Hermoso Saliga Jr.
• Mohamed Salih Makawi, MBBS
• Ammar Y Sallam, MD
• Aliza Salman, MD

• Specialist in Flushing, NY
• Providers in Flushing, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.