Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shannon S Salem, PA

Individual provider Physician Assistant · NPI 1144871674

Shannon S Salem, PA is a Physician Assistant in New York, New York. Works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

525 E 68th St
New York, NY 10065-4870
Phone: (746) 212-5454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 30 Prospect Ave, Hackensack, NJ 07601-1915 — (996) 551-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 25MP00684100 (NJ)

Record details

NPI number1144871674
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 25, 2019
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022

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