Individual provider Active NPI

Josette C Palmer, MD

  • Family Medicine Physician
  • Sicklerville, NJ
National Provider Identifier
1104860154
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA62041 Issued in NJ
Practice address
416 Sicklerville Rd
Suite A1
Sicklerville, NJ 08081-2556
Phone
(856) 723-8100
Fax
(856) 723-8107
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA62041 NJ Primary

Addresses

Primary practice location

416 Sicklerville Rd
Suite A1
Sicklerville, NJ 08081-2556

Mailing address

500 Grove St
Suite 100
Haddon Heights, NJ 08035-1761
Phone (856) 796-9255

Other identifiers 1

IdentifierTypeStateIssuer
6987605MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110512000880 NJ Practitioner - Family Practice 6103002860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

151 Fries Mill Rd
Turnersville, NJ 08012-2016
Phone (856) 881-5111

Hospital & facility affiliations

  • Bayada at Inspira, Home Health and Hospice Home health agency, Millville, NJ, CCN 317089
  • Holy Redeemer Home Care NJ South Home health agency, Runnemede, NJ, CCN 317025
  • Jefferson Health at Home by Bayada Home health agency, Voorhees, NJ, CCN 317073
  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069
  • Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA62041NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Healthy You Family Medicine, PC Family Medicine CurrentSince Feb 1, 2016 Accepting new patients
Kennedy University Hospital Inc. Past Accepting new patients

Locations

707 N Main St
Ste 2
Glassboro, NJ 08028
Phone (856) 294-6351

151 Fries Mill Rd
Ste 604
Turnersville, NJ 08012
Phone (856) 881-5111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJBIAD/Endpoint/DJBIAD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1104860154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GROVE ST",
            "address_2": "SUITE 100",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351761",
            "telephone_number": "856-796-9255",
            "fax_number": "856-796-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 SICKLERVILLE RD",
            "address_2": "SUITE A1",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080812556",
            "telephone_number": "856-723-8100",
            "fax_number": "856-723-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "JOSETTE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA62041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6987605",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

Verify at the official NPI Registry.