SANNA SALAM MEDICAL PC
NPI 1689510018
Internal Medicine in Woodside, NY

Active since April 27, 2026
6417 BROADWAY, WOODSIDE, NY 11377(917) 238-6594(978) 307-5724 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 4, 2026, Apr 27, 2026 (2 updates tracked since 2026).

About Sanna Salam Medical Pc NPPES

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

SANNA SALAM MEDICAL PC (NPI 1689510018) is a healthcare organization registered as an internal medicine in Woodside, New York and active in the NPI registry since April 2026. The organization lists Sanna Salam, President, as its authorized official.

NPPES Registry Identity

NPI1689510018
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSANNA SALAM MEDICAL PC
Location Address6417 BROADWAYWoodside, NY 11377-2336
Mailing Address17415 Jewel AveFresh Meadows, NY 11365-3425 · (917) 238-6594 · Fax (978) 307-5724
Fax(978) 307-5724
Organization SubpartNo
Authorized OfficialSanna SalamPresident · (917) 238-6594
Enumeration DateApril 27, 2026
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1689510018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6417 BROADWAY, Woodside, NY 11377

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sanna Salam Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sanna Salam Medical PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1396324547
8268 164TH ST
Jamaica, NY 11432
(718) 883-4583
✔ PECOS5.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sanna Salam Medical PC's NPI number?

The NPI number for Sanna Salam Medical PC is 1689510018. It was assigned to this organization in the NPPES registry on April 27, 2026.

Where is Sanna Salam Medical PC located?

Sanna Salam Medical PC is located at 6417 Broadway, Woodside, NY 11377. The listed phone number is (917) 238-6594.

What is Sanna Salam Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sanna Salam Medical PC enrolled in Medicare?

Yes. Sanna Salam Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sanna Salam Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Sanna Salam Medical PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sanna Salam Medical PC was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.