Shalom Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

109860 Issued in PA

Legal business name

SHALOM INC

Practice address

1080 N Delaware Ave
Suite 602
Philadelphia, PA 19125-4330

Phone

(215) 425-7727

Fax

(215) 425-7785

NPI assigned

Jun 27, 2008

Organization subpart

No

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

Authorized official

Name

Madeleine Boyd

Title

Executive Director

Phone

(215) 425-7727

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Shalom Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shalom Inc.

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1609901032
  NPD tax ID

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1215199690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 N DELAWARE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254330",
            "telephone_number": "215-425-7727",
            "fax_number": "215-425-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 N DELAWARE AVE",
            "address_2": "SUITE 602",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254330",
            "telephone_number": "215-425-7727",
            "fax_number": "215-425-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "MADELEINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-425-7727"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "109860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBH D/A OUTPATIENT",
            "identifier": "119070",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riza Shakya
• Mahmoud M Shalaby, MD
• Marc Shalaby, MD
• Michael Monir Shalaby, MD
• Herbert Lex Shallcross IV
• Shalom Inc.
• Evelyn Shalon, LCSW
• Mariya Shalumova, RN
• Jay Shamah
• Mikhail Shamayev, MD

• Community/Behavioral Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.