1821114091 NPI number — DR. JAMES PALMA M.D.

Table of content: DR. JAMES PALMA M.D. (NPI 1821114091)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821114091 NPI number — DR. JAMES PALMA M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PALMA
Provider First Name:
JAMES
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821114091
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/14/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
57 W 57TH ST
Provider Second Line Business Mailing Address:
SUITE 1107
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10019-2802
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-838-2200
Provider Business Mailing Address Fax Number:
212-838-2111

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
57 W 57TH ST
Provider Second Line Business Practice Location Address:
SUITE 1107
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10019-2802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-838-2200
Provider Business Practice Location Address Fax Number:
212-838-2111
Provider Enumeration Date:
03/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  170169 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01362481 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: NP253 . This is a "OXFORD HEALTH PLANS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 130409000278 . This is a "FIDELISCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 170169 . This is a "METROPLUS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2400156-98 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 728652 . This is a "AETNA HEALTH PLANS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 39F121 . This is a "BLUE SHIELD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4115120 . This is a "AETNA US HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: DOC013609-0 . This is a "VNS CHOICE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 170169-B26 . This is a "HEALTHFIRST" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: PH18467 . This is a "ACESS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 8202323 . This is a "CIGNA HEALTH INSURANCE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 900539234 . This is a "AFFINITY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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