Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edward Shalts, MD

Individual provider Psychiatry Physician · NPI 1518035732

Edward Shalts, MD is a Psychiatry in Rego Park, New York. Qualified in 1982, 44 years ago. Practices with Revived Soul Medical PC, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
44
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9520 63rd Rd Ste H
Rego Park, NY 11374-1145
Phone: (718) 864-2120
Fax: (888) 603-6374
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 209237 (NY)

Record details

NPI number1518035732
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 4, 2006
Last updated in NPPESJanuary 28, 2021
Certification dateJanuary 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Revived Soul Medical Pc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Rego Park