Bethzaida Crisanto Palma-Aquino, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

163343 Issued in NY

Practice address

24 Bristol LN
Kings Park, NY 11754-4009

Phone

(631) 361-5006

Fax

(631) 361-5006

NPI assigned

Aug 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bethzaida Crisanto Palma Former name

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• New Horizon Counseling Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Ozone Park, NY
  • NPI 1366430563
  Medicare reassignment

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1124134234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BRISTOL LN",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117544009",
            "telephone_number": "631-361-5006",
            "fax_number": "631-361-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 BRISTOL LN",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117544009",
            "telephone_number": "631-361-5006",
            "fax_number": "631-361-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMA-AQUINO",
        "first_name": "BETHZAIDA",
        "middle_name": "CRISANTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "163343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHZAIDA",
            "last_name": "PALMA",
            "middle_name": "CRISANTO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Salvatore Oreste, RPH
• Maureen M. Orsen, MD
• Ty Dodson Osborne, DDS
• Monica Oswald, PH.D.
• Michael Palazzo
• Chris Pandolfi, P.T.
• Rachel Beth Parrotta, DPT
• Tahmina Parveen
• Path of Wellness Massage Therapy
• Susan Tracey Peckins, MA, CCC-A

• Psychiatry Physician in Kings Park, NY
• Providers in Kings Park, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.