Healthcare Provider Details

I. General information

NPI: 1225203367
Provider Name (Legal Business Name): USMAN SALEEM MD, MSPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2008
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25020 HILLSIDE AVE
BELLEROSE NY
11426-2149
US

IV. Provider business mailing address

25020 HILLSIDE AVE
BELLEROSE NY
11426-2149
US

V. Phone/Fax

Practice location:
  • Phone: 718-343-0474
  • Fax: 718-962-2818
Mailing address:
  • Phone: 718-343-0474
  • Fax: 718-962-2818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number255197
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number25MA08882400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: