Active NPI
Tanvir US Salam, MD
- Critical Care Medicine (Internal Medicine) Physician
- Warren, NJ
National Provider Identifier
1982994331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 01071137A
- Practice address
- 11 Mattben Dr
Warren, NJ 07059-7142 - Phone
- (561) 419-3856
- NPI assigned
- Apr 19, 2011
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01071137A | IN | |
| Internal Medicine Physician | 207R00000X | 2012-01639 | NC | |
| Pulmonary Disease Physician | 207RP1001X | 01071137A | IN | |
| Hospitalist Physician | 208M00000X | ME 108596 | FL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 01071137A | IN | Primary |
Addresses
Primary practice location
11 Mattben Dr
Warren, NJ 07059-7142
Mailing address
11 Mattben Dr
Warren, NJ 07059-7142
Phone (561) 419-3856
Other practice location 1
85 E US Highway 6
Valparaiso, IN 46383-8947
Phone (219) 494-9054
Other practice location 2
1000 Blythe Blvd
CMC Annex 1st Floor
Charlotte, NC 28203-5812
Phone (704) 355-0720
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5921773 | Medicaid | NC | |
| NC1737 | Medicaid | SC | |
| 201296370 | Medicaid | IN | |
| 259370099 | Other | IN | IN MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 108596 | FL | MD | Hospitalist Physician |
Interoperability endpoints
- tsalam305221@ecommunitydirect.com
- tanvir.salam@hca4.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1982994331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 MATTBEN DR",
"city": "WARREN",
"state": "NJ",
"postal_code": "070597142",
"telephone_number": "561-419-3856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 MATTBEN DR",
"city": "WARREN",
"state": "NJ",
"postal_code": "070597142",
"telephone_number": "561-419-3856"
}
],
"practiceLocations": [
{
"address_1": "85 E US Highway 6",
"address_purpose": "LOCATION",
"city": "Valparaiso",
"state": "IN",
"postal_code": "463838947",
"country_code": "US",
"telephone_number": "219-494-9054",
"fax_number": "219-465-1749",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Blythe Blvd",
"address_2": "CMC Annex 1st Floor",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035812",
"country_code": "US",
"telephone_number": "704-355-0720",
"fax_number": "704-355-5948",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALAM",
"first_name": "TANVIR",
"middle_name": "US",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-19",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01071137A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2012-01639",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IN",
"license": "01071137A",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME 108596",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IN",
"license": "01071137A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5921773",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NC1737",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201296370",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN MEDICARE",
"identifier": "259370099",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.