Physician Compare National (NPI:1154818128)

HEALTHCARE PROVIDER: SHAYAN SALAR LCSW

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1154818128
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1850720277
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200407001262
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SALAR
	Individual professional last name
Provider First Name	SHAYAN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2017
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1164 RARITAN AVE
	Group Practice or individual's line 1 address
City	HIGHLAND PARK
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	089043653
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y