Provider Demographics
NPI:1760573513
Name:ALOBEIDY, SALAAM TAHA (MD)
Entity Type:Individual
Prefix:DR
First Name:SALAAM
Middle Name:TAHA
Last Name:ALOBEIDY
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:54 W JIMMIE LEEDS RD
Mailing Address - Street 2:SUITES 4 & 5
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-9438
Mailing Address - Country:US
Mailing Address - Phone:609-404-0056
Mailing Address - Fax:609-404-0506
Practice Address - Street 1:54 W JIMMIE LEEDS RD
Practice Address - Street 2:SUITES 4 & 5
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-9438
Practice Address - Country:US
Practice Address - Phone:609-404-0056
Practice Address - Fax:609-404-0506
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07392100207RC0200X, 207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2863272000OtherAMERIHEALTH
NJ2863272000OtherAMERIHEALTH
G01763Medicare UPIN