Boris Shalomov, CPED

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

90-31 Sutphin Blvd
Jamaica, NY 11425-0001

Phone

(718) 291-4692

NPI assigned

Oct 17, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285715565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PENNSYLVANIA AVE APT 4B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112391209",
            "telephone_number": "917-640-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90-31 SUTPHIN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114250001",
            "telephone_number": "718-291-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALOMOV",
        "first_name": "BORIS",
        "credential": "CPED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Izobella Shakarova, RN
• Catherine Shakhmurov
• Bernard W Shakter, DDS
• Shalomah Ministry Inc
• Nataniel Shalomayev
• Edward Shalomov, DDS
• Yelena Shalomova, PTA
• Nerik Shamalov
• Jeffrey Shamayev, DDS
• Sharon Shamoiel, DMD

• Durable Medical Equipment & Medical Supplies in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.