Shalom Jaroslawicz, - Medicare Nurse Practitioner in Valley Stream, NY

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Shalom Jaroslawicz, is a medicare enrolled "Nurse Practitioner - Family" in Valley Stream, New York. His current practice location is 701 Mulberry Pl, Valley Stream, New York. You can reach out to his office (for appointments etc.) via phone at (646) 842-2367.

Shalom Jaroslawicz is licensed to practice in New York (license number 347138) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407445257.

Contact Information

Shalom Jaroslawicz,
701 Mulberry Pl,
Valley Stream, NY 11581-3131
(646) 842-2367
Not Available

Map and Direction




Provider's Profile

Full NameShalom Jaroslawicz
GenderMale
SpecialityNurse Practitioner - Family
Location701 Mulberry Pl, Valley Stream, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407445257
  • Provider Enumeration Date: 01/15/2021
  • Last Update Date: 01/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9133521073
  • Enrollment ID: I20210714002054

Medical Identifiers

Medical identifiers for Shalom Jaroslawicz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407445257NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 347138 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shalom Jaroslawicz allows following entities to bill medicare on his behalf.
Entity NamePark Avenue Pediatrics Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699969543
PECOS PAC ID: 6507010592
Enrollment ID: O20130128000388
Entity NameUpstate Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174194856
PECOS PAC ID: 6507250644
Enrollment ID: O20220307000447

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shalom Jaroslawicz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shalom Jaroslawicz,
701 Mulberry Pl,
Valley Stream, NY 11581-3131

Ph: () -		Shalom Jaroslawicz,
701 Mulberry Pl,
Valley Stream, NY 11581-3131

Ph: (646) 842-2367

Reviews and Comments


Nurse Practitioner Nurses in Valley Stream, NY

Ms. Abimbola Jaiyesimi, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 260 W Sunrise Hwy, Ste. 200, Valley Stream, NY 11581
Phone: 516-825-3600    Fax: 516-872-5137
Taylor Marie Raia, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 260 W Sunrise Hwy Fl 3, Valley Stream, NY 11581
Phone: 516-336-5255    
Elana Deutscher, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 718 Hungry Harbor Rd, Valley Stream, NY 11581
Phone: 917-349-6395    
Kemesha Scott-denehy, ANP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 42 Rose Ave, Valley Stream, NY 11580
Phone: 516-837-0415    
Ms. Janice Campbell-brewster, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 260 W Sunrise Hwy, Valley Stream, NY 11581
Phone: 631-751-3000    
Chikodi Obichere,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12 Ash Ln, Valley Stream, NY 11581
Phone: 917-536-8517    
Smith Maxume, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 28 Liberty Blvd, Valley Stream, NY 11580
Phone: 347-737-3009    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.