Shalom Tyberg, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0177071 Issued in NY

Practice address

1161 E 32ND St
Brooklyn, NY 11210-4734

Phone

(718) 258-0198

NPI assigned

Jul 2, 2009

Sex

Male

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

State licenses

Practice roles

Networks

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oda Primary Health Care Network, Inc.

  • Primary Care Clinic/Center
  • Brooklyn, NY
  • NPI 1720177066
  NPD (past)
• Oda Primary Health Care Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1811870611
  NPD (past)

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1598994204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 E 32ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104734",
            "telephone_number": "718-258-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 E 32ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104734",
            "telephone_number": "718-258-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYBERG",
        "first_name": "SHALOM",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0177071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Tyberg, MD
• Michael Tyberg, M.D.
• Mordechai Tyberg
• Rebecca Tyberg
• Rivky Tyberg, BCBA, LBA, MSED
• Tammy Tyberg
• Toby Tyberg, MS
• Yakov Shlomo Tyberg
• Olena Tychkov, OTA
• Marcus Tye

• Speech-Language Pathologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.