Individual provider Active NPI

Sophia Mirza Saleem, M.D.

  • Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
  • New York, NY
National Provider Identifier
1932336310
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Uveitis and Ocular Inflammatory Disease (Ophthalmology) PhysicianTaxonomy code 207WX0108X
License
269522 Issued in NY
Practice address
17 E 102ND St
Box 1183
New York, NY 10029-5204
Phone
(212) 241-0939
Fax
(212) 924-2325
NPI assigned
Jun 12, 2009
Last updated
Apr 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X 269522 NY Primary

Addresses

Primary practice location

17 E 102ND St
Box 1183
New York, NY 10029-5204

Mailing address

615 E 14TH St
Unit 1G
New York, NY 10009-3210
Phone (404) 663-0646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20131101000052 NY Practitioner - OphthalmologyPractitioner - Otolaryngology 7416182241 Reassigns benefits to 3 organizations
Practice locations: Brooklyn, NY; Mineola, NY; New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Morehouse School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

4300 Hempstead Tpke
Bethpage, NY 11714-5704
Phone (516) 562-3090

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Oct 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 20, 2019 Accepting new patients
North Shore - Lij Medical PC CurrentSince Oct 1, 2021 Accepting new patients
Noga Harizman MD PC Past Accepting new patients
Alexander Rabinovich Medical PC Past Accepting new patients

Locations

4300 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 210-8200

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

3160 21st St
Long Island City, NY 11106
Phone (718) 808-7300

300 Community Dr
Manhasset, NY 11030

200 Old Country Rd
Ste 125
Mineola, NY 11501
Phone (516) 408-4900

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ssaleem20509@northwell.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1932336310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E 14TH ST",
            "address_2": "UNIT 1G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100093210",
            "telephone_number": "404-663-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E 102ND ST",
            "address_2": "BOX 1183",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295204",
            "telephone_number": "212-241-0939",
            "fax_number": "212-924-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEEM",
        "first_name": "SOPHIA",
        "middle_name": "MIRZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "NY",
            "license": "269522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.