Individual provider Active NPI

Steven A Pally, D.O.

  • Internal Medicine Physician
  • Florham Park, NJ
National Provider Identifier
1114921079
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MB55173 Issued in NJ
Practice address
10 James St
Suite 140
Florham Park, NJ 07932-1405
Phone
(973) 822-0770
Fax
(973) 822-2062
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MB55173 NJ Primary

Addresses

Primary practice location

10 James St
Suite 140
Florham Park, NJ 07932-1405

Mailing address

10 James St
Suite 140
Florham Park, NJ 07932-1405
Phone (973) 822-0770

Other identifiers 1

IdentifierTypeStateIssuer
5313902MedicaidNJ

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
I20040202000424 NJ Practitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 2567365364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Osteopathic Manipulative Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 James St
Suite 140
Florham Park, NJ 07932-1426
Phone (973) 822-0770

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB55173NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S.P. Associates, D.O., P.C. Internal Medicine CurrentSince Jan 29, 2004 Accepting new patients
Ahs Hospital Corp PastSince Mar 12, 2024 Accepting new patients
NJ Bariatric Institute LLC PastSince Feb 27, 2017 Accepting new patients

Locations

10 James St
Ste 140
Florham Park, NJ 07932
Phone (973) 665-8100

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/PYvsXOYiL9Kg269uLlyr8nOudyrp1k0M/

Organizations & group practices 3

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 4

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1114921079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JAMES ST",
            "address_2": "SUITE 140",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321405",
            "telephone_number": "973-822-0770",
            "fax_number": "973-822-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 JAMES ST",
            "address_2": "SUITE 140",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321405",
            "telephone_number": "973-822-0770",
            "fax_number": "973-822-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLY",
        "first_name": "STEVEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB55173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5313902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

Verify at the official NPI Registry.