Cheryl Balsam, PT

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

026661-1 Issued in NY

Practice address

617 Prescott PL
Valley Stream, NY 11581-3033

Phone

(718) 801-1904

NPI assigned

Dec 8, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Cheryl Rosenberg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1174768907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 PRESCOTT PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 PRESCOTT PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813033",
            "telephone_number": "718-801-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSAM",
        "first_name": "CHERYL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NY",
            "license": "026661-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "ROSENBERG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tennisha Michella Bailey
• Nastassia Baksh
• Kimberly Baktis
• Reyson Baldomir
• Nirvanie Balkaran, LPMHC
• Paul Bamba, M.D.
• Kehinde Bamsile
• Camyl Banatte, PHARM D
• Rathindra Banik, MD
• Danielle Ginette Banister, NONE

• Community Health Worker in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Community Health Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.