SHALLOM LLC
NPI 1467186676
Nurse Practitioner - Psychiatric/Mental Health in Yardley, PA

Active since July 13, 2022
397 SALY RD, YARDLEY, PA 19067(267) 968-9703(609) 375-1700 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 1, 2025, Jun 20, 2023, Jul 13, 2022 (3 updates tracked since 2022).

About Shallom Llc NPPES

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

SHALLOM LLC (NPI 1467186676) is a healthcare organization registered as a psychiatric/mental health in Yardley, Pennsylvania and active in the NPI registry since July 2022. The organization maintains a secondary practice location in Trenton and lists Toyin Oladele, Owner/apn, as its authorized official.

NPPES Registry Identity

NPI1467186676
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSHALLOM LLC
Location Address397 SALY RDYardley, PA 19067-1979
Mailing Address397 Saly RdYardley, PA 19067-1979 · (267) 342-1992
Fax(609) 375-1700
Organization SubpartNo
Authorized OfficialToyin OladeleOwner/apn · (267) 342-1992
Enumeration DateJuly 13, 2022
Last NPPES UpdateDecember 1, 20253 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1467186676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedPsychiatric UnitTaxonomy 273R00000X
397 SALY RD, Yardley, PA 19067

Secondary Practice Location 1

Location 1100 Sullivan wayTrenton, NJ 08618 · Phone (267) 968-9703 · Fax (609) 375-1700

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shallom Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shallom LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1760917827
397 SALY RD
Yardley, PA 19067
(267) 968-9703
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shallom LLC's NPI number?

The NPI number for Shallom LLC is 1467186676. It was assigned to this organization in the NPPES registry on July 13, 2022.

Where is Shallom LLC located?

Shallom LLC is located at 397 Saly Rd, Yardley, PA 19067. The listed phone number is (267) 968-9703.

What is Shallom LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shallom LLC enrolled in Medicare?

Yes. Shallom LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shallom LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Shallom LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shallom LLC was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.