Active NPI
Melissa Shalom
- Physical Therapist
- Neptune, NJ
National Provider Identifier
1972900488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 036625-1
- Practice address
- 57 S Main St
Ste 316
Neptune, NJ 07753-5032 - Phone
- (212) 500-0560
- NPI assigned
- Nov 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 036625-1 | NY | Primary |
Addresses
Primary practice location
57 S Main St
Ste 316
Neptune, NJ 07753-5032
Mailing address
923 5TH Ave
Apt 7G
New York, NY 10021-2649
Phone (212) 500-0560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036625-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532649600000",
"number": "1972900488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 5TH AVE",
"address_2": "APT 7G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100212649",
"telephone_number": "212-500-0560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 S MAIN ST",
"address_2": "STE 316",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077535032",
"telephone_number": "212-500-0560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHALOM",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-26",
"last_updated": "2018-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "036625-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Neptune, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.