Organization Active NPI

Shalom Medical Group Inc

  • Psychiatry Physician
  • Miami Beach, FL
National Provider Identifier
1851521447
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SHALOM MEDICAL GROUP INC
Practice address
5601 Collins Ave Ste Cu1
Miami Beach, FL 33140-2415
Phone
(305) 993-5558
Fax
(305) 993-5770
NPI assigned
Jul 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Authorized official

Name
Juan E DelgadoNPI 1164660254
Title
Vice President
Phone
(305) 993-5558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

5601 Collins Ave Ste Cu1
Miami Beach, FL 33140-2415

Mailing address

5601 Collins Ave Ste Cu1
Miami Beach, FL 33140-2415
Phone (305) 993-5558

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1851521447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 COLLINS AVE STE CU1",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402415",
            "telephone_number": "305-993-5558",
            "fax_number": "305-993-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 COLLINS AVE STE CU1",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402415",
            "telephone_number": "305-993-5558",
            "fax_number": "305-993-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-993-5558"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.