Individual provider Active NPI

Shalom Lichtenstein

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1770289837
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351137 Issued in NY
Practice address
1547 E 31St St
Brooklyn, NY 11234-3454
Phone
(516) 668-4251
NPI assigned
Jan 31, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01467700 NJ
Family Nurse Practitioner 363LF0000X 351137 NY Primary

Addresses

Primary practice location

1547 E 31St St
Brooklyn, NY 11234-3454

Mailing address

1547 E 31St St
Brooklyn, NY 11234-3454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230322001323 NY Practitioner - Nurse Practitioner 1456725043 Reassigns benefits to 1 organization
I20260107000975 NJ Practitioner - Nurse Practitioner 1456725043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1771 Madison Ave
Lakewood, NJ 08701-1251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
351137NYMDFamily Nurse Practitioner
26NJ01467700NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Josef Schenker MD PC CurrentSince Jan 18, 2023 Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Precious Health of Lakewood, PC Past Accepting new patients

Locations

1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144

4426 18th Ave
Brooklyn, NY 11204
Phone (718) 635-9700

6122 Fresh Pond Rd
Middle Vlg, NY 11379
Phone (718) 502-3000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1770289837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 E 31ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 E 31ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343454",
            "telephone_number": "516-668-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTENSTEIN",
        "first_name": "SHALOM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-31",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01467700",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.