Active NPI
Shlomo Eliyahu Halberstam, PMHNP
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Bellerose, NY
National Provider Identifier
1437907144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- License
- 801670-01
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260105001130 | NY | Order and Referring Only - Nurse Practitioner | 0749776276 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 801670-01 | NY | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
| 406864-01 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.