Wadid Zaky, M.D., LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

WADID ZAKY, M.D., LLC

Practice address

10231 Old Ocean City Blvd Ste 208
Berlin, MD 21811-3568

Phone

(240) 616-6006

Fax

(240) 616-2828

NPI assigned

Oct 30, 2024

Last updated

Nov 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wadid Zaky Salama, MDNPI 1922205079

Title

Owner

Phone

(240) 616-6006

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DE3 enrollments

Enrollment records 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wadid Youssef Zaky Salama, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Berlin, MD
  • NPI 1922205079

  DE

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1972325900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10231 OLD OCEAN CITY BLVD STE 208",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113568",
            "telephone_number": "240-616-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10231 OLD OCEAN CITY BLVD STE 208",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113568",
            "telephone_number": "240-616-6006",
            "fax_number": "240-616-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADID ZAKY, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "ZAKY SALAMA",
        "authorized_official_first_name": "WADID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-616-6006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.