Individual provider Active NPI

Shlomo Eliyahu Halberstam, PMHNP

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Bellerose, NY
National Provider Identifier
1437907144
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
License
801670-01 Issued in NY
Practice address
7403 Commonwealth Blvd
Bellerose, NY 11426-1839
Phone
(718) 264-4805
NPI assigned
May 8, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 801670-01 NY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 406864-01 NY

Addresses

Primary practice location

7403 Commonwealth Blvd
Bellerose, NY 11426-1839

Mailing address

312 Washington Ave
Cedarhurst, NY 11516-1523
Phone (917) 578-1947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260105001130 NY Order and Referring Only - Nurse Practitioner 0749776276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
801670-01NYMDChild & Adolescent Psychiatric/Mental Health Registered Nurse
406864-01NYMDPsychiatric/Mental Health Nurse Practitioner

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: shalberstam4362887@nychhc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1437907144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 WASHINGTON AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161523",
            "telephone_number": "917-578-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7403 COMMONWEALTH BLVD",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261839",
            "telephone_number": "718-264-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBERSTAM",
        "first_name": "SHLOMO",
        "middle_name": "ELIYAHU",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-08",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NY",
            "license": "801670-01",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406864-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose, NY

Sources for this page

Verify at the official NPI Registry.