Shallom LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SHALLOM LLC

Practice address

397 Saly Rd
Yardley, PA 19067-1979

Phone

(267) 968-9703

Fax

(609) 375-1700

NPI assigned

Jul 13, 2022

Last updated

Dec 1, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Toyin OladeleNPI 1760917827

Title

Owner/Apn

Phone

(267) 342-1992

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Toyin Oladele

  • Psychiatric/Mental Health Nurse Practitioner
  • Yardley, PA
  • NPI 1760917827

  NJ

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1467186676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 SALY RD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190671979",
            "telephone_number": "267-342-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 SALY RD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190671979",
            "telephone_number": "267-968-9703",
            "fax_number": "609-375-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Sullivan way",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "08618",
            "country_code": "US",
            "telephone_number": "267-968-9703",
            "fax_number": "609-375-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHALLOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "OLADELE",
        "authorized_official_first_name": "TOYIN",
        "authorized_official_title_or_position": "OWNER/APN",
        "authorized_official_telephone_number": "267-342-1992"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "267-342-1992",
            "affiliation": "N",
            "endpointDescription": "Phone",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "397 Saly Rd",
            "city": "Yardley",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190671979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "267-342-1992",
            "affiliation": "N",
            "endpointDescription": "Phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health information",
            "address_1": "397 Saly Rd",
            "city": "Yardley",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190671979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Serravallo, M.D.
• Matthew David Shade, MED., ATC
• Daksha Shah, MD
• Hetal N Shah, PHARMD
• Manisha Shah, P.T
• Olga Iris Sharma, MSW
• Sherri Rene Levy LLC
• Shop Rite of Hunterdon County Inc (ShopRite Pharmacy)
• Richard D Shusterman, M.D.
• Alexander Shvartsman, CRNP

• Psychiatric/Mental Health Nurse Practitioner in Yardley, PA
• Providers in Yardley, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.