SHALOM MOSHE ROSENBAUM MD
NPI 1124722921
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since March 28, 2023PECOS Enrolled
1400 PELHAM PKWY S, BRONX, NY 10461(718) 918-5640 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shalom Moshe Rosenbaum Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHALOM MOSHE ROSENBAUM MD (NPI 1124722921) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124722921
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHALOM MOSHE ROSENBAUMCredential: MD
Location Address1400 PELHAM PKWY SBronx, NY 10461-1197
Mailing Address1400 Pelham Pkwy SBronx, NY 10461-1197
Sole ProprietorNo
Enumeration DateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
NPI 1124722921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1400 PELHAM PKWY S, Bronx, NY 10461

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shalom Moshe Rosenbaum Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
1400 PELHAM PKWY S, JACOBI MEDICAL CENTER 1E12
BRONX, NY 10461
Dentist
1400 PELHAM PKWY S, JACOBI MEDICAL CENTER
BRONX, NY 10461
Internal Medicine (Gastroenterology)
1400 PELHAM PKWY S
BRONX, NY 10461
Internal Medicine
1400 PELHAM PKWY S
BRONX, NY 10461
Dentist (Pediatric Dentistry)
1400 PELHAM PKWY S
BRONX, NY 10461
Internal Medicine
1400 PELHAM PKWY S
BRONX, NY 10461
Nurse Practitioner (Obstetrics & Gynecology)
1400 PELHAM PKWY S
BRONX, NY 10461
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1400 PELHAM PKWY S
BRONX, NY 10461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shalom Rosenbaum's NPI number?

The NPI number for Shalom Rosenbaum is 1124722921. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Shalom Rosenbaum located?

Shalom Rosenbaum practices at 1400 Pelham Pkwy S, Bronx, NY 10461. The listed phone number is (718) 918-5640.

What is Shalom Rosenbaum's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shalom Rosenbaum enrolled in Medicare?

Yes. Shalom Rosenbaum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shalom Rosenbaum was last updated on March 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.