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SHANNON S SALEM PA
NPI 1144871674
Physician Assistant in New York, NY

Active since September 25, 2019
525 E 68TH ST, NEW YORK, NY 10065(746) 212-5454 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2022, Sep 8, 2022, Sep 25, 2019 (3 updates tracked since 2019).

About Shannon S Salem Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON S SALEM PA (NPI 1144871674) is an individual physician assistant in New York, New York, licensed in New Jersey (25MP00684100) and active in the NPI registry since September 2019. She maintains a secondary practice location in Hackensack.

NPPES Registry Identity

NPI1144871674
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON S SALEMCredential: PA
Location Address525 E 68TH STNew York, NY 10065-4870
Mailing Address111 W 117th St Apt 2New York, NY 10026-1589 · (973) 294-8825
Phone(746) 212-5454
Sole ProprietorNo
Enumeration DateSeptember 25, 2019
Last NPPES UpdateOctober 13, 20223 updates tracked since enumeration
NPPES CertifiedOctober 13, 2022
✔ NPI 1144871674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NJ · 25MP00684100
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
525 E 68TH ST, New York, NY 10065
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Secondary Practice Location 1

Location 130 Prospect AveHackensack, NJ 07601-1915 · Phone (996) 551-2000

Other Identifiers 1

Other25MP00684100NJ · License

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AKILI HINSON M.D.
Surgery
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-5454
ABBY AVGERINOS
Nurse Practitioner (Adult Health)
525 E 68TH ST
NEW YORK, NY 10065
New York County (610) 742-3894
DR. PAMELA JOAN-YIN TIEU M.D.
Hospitalist
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-5454
JENNIFER ANNE SOO HOO MD
Physical Medicine & Rehabilitation (Sports Medicine)
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-1500
WEILL MEDICAL COLLEGE OF CORNELL
Specialist
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-2846
MS. RACHAEL HALEY BLAIRE PA-C
Physician Assistant
525 E 68TH ST
NEW YORK, NY 10065
New York County (480) 221-9894
DR. NISHA MEHTA-NAIK M.D.
Psychiatry & Neurology (Psychiatry)
525 E 68TH ST, MAIL SLOT 140
NEW YORK, NY 10065
New York County (212) 746-3720
POOJA SHAH SALVI
Student in an Organized Health Care Education/Training Program
525 E 68TH ST
NEW YORK, NY 10065
New York County (646) 962-8413

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Salem's NPI number?

The NPI number for Shannon Salem is 1144871674. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Where is Shannon Salem located?

Shannon Salem practices at 525 E 68th St, New York, NY 10065. The listed phone number is (746) 212-5454.

What is Shannon Salem's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Shannon Salem was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.