Organization Active NPI

White Plains Physician Services PC

  • Internal Medicine Physician
  • White Plains, NY
National Provider Identifier
1124502687
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WHITE PLAINS PHYSICIAN SERVICES PC
Practice address
170 Maple Ave
White Plains, NY 10601-4710
Phone
(914) 681-0600
Fax
(914) 681-2959
NPI assigned
Sep 20, 2018
Last updated
Sep 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Michael J Palumbo, MDNPI 1174521678
Title
Authorized Official
Phone
(914) 681-1210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Nutritionist 133N00000X NU
Registered Dietitian 133V00000X NU
Dermatology Physician 207N00000X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary
Obstetrics & Gynecology Physician 207V00000X NU
Hematology (Pathology) Physician 207ZH0000X NU
Pediatrics Physician 208000000X NU
Plastic Surgery Physician 208200000X NU
Neurology Physician 2084N0400X NU
Psychiatry Physician 2084P0800X NU
Surgery Physician 208600000X NU
Speech-Language Pathologist 235Z00000X NU
Genetic Counselor (M.S.) 170300000X NU

Addresses

Primary practice location

170 Maple Ave
White Plains, NY 10601-4710

Mailing address

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-1210

Other names 1

  • White Plains Physician Services P C Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, SC, FL, NV, OH, TX, DC, IL, WA, NE11 enrollments

Enrollment records 11

Enrollment IDStateProvider typePAC IDDetails
O20190402000216 NY Part B Supplier - Clinic/Group Practice 3476894445 Receives reassigned benefits from 500 practitioners
O20241022002423 PA Part B Supplier - Clinic/Group Practice 3476894445 Receives reassigned benefits from 2 practitioners
Practice locations: Huntingdon, PA; Paoli, PA
O20241127002991 SC Part B Supplier - Clinic/Group Practice 3476894445 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Pleasant, SC
O20241210002437 FL Part B Supplier - Clinic/Group Practice 3476894445 Receives reassigned benefits from 4 practitioners
Practice locations: Miami, FL; Panama City Beach, FL; Orlando, FL
O20250902000741 NV Part B Supplier - Clinic/Group Practice 3476894445 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV
O20250902003634 OH Part B Supplier - Clinic/Group Practice 3476894445 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, OH
O20250903004475 TX Part B Supplier - Clinic/Group Practice 3476894445 Receives reassigned benefits from 1 practitioner
Practice locations: Rockwall, TX
O20250903004504 DC Part B Supplier - Clinic/Group Practice 3476894445 Receives reassigned benefits from 1 practitioner
Practice locations: Bethesda, MD
O20251008000203 IL Part B Supplier - Clinic/Group Practice 3476894445 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Brook, IL
O20251021003323 WA Part B Supplier - Clinic/Group Practice 3476894445 Receives reassigned benefits from 1 practitioner
Practice locations: Bothell, WA
O20260408001014 NE Part B Supplier - Clinic/Group Practice 3476894445 Receives reassigned benefits from 1 practitioner
Practice locations: Elkhorn, NE

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

15 Laurel Ave
Cornwall, NY 12518
Phone (914) 849-7655

2071 Boston Post Rd
Larchmont, NY 10538
Phone (914) 833-1000

620 E Boston Post Rd
Mamaroneck, NY 10543
Phone (914) 777-5437

155 Crystal Run Rd
Middletown, NY 10941

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

90 S Ridge St
Ste LL-9
Rye Brook, NY 10573
Phone (914) 253-6504

2 Overhill Rd
Ste 225
Scarsdale, NY 10583
Phone (914) 636-0077

688 White Plains Rd
Scarsdale, NY 10583
Phone (914) 337-3976

700 White Plains Rd
Ste 34
Scarsdale, NY 10583
Phone (914) 472-7023

122 Maple Ave
Fl 9
White Plains, NY 10601
Phone (914) 849-3755

170 Maple Ave
White Plains, NY 10601
Phone (914) 761-4567

2 Longview Ave
Fl 2
White Plains, NY 10601
Phone (914) 849-7539

2 Longview Ave
Fl 4
White Plains, NY 10601
Phone (914) 681-2703

2 Longview Ave
Ste 600
White Plains, NY 10601
Phone (914) 849-3746

2 Westchester Park Dr
Ste L-1
White Plains, NY 10604
Phone (914) 683-1555

785 Mamaroneck Ave
Lot 4
White Plains, NY 10605
Phone (914) 849-5300

819 Yonkers Ave
Ste 2
Yonkers, NY 10704
Phone (914) 631-7777

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 539

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 539

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1124502687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 E POST RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014607",
            "telephone_number": "914-681-1210",
            "fax_number": "914-681-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MAPLE AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014710",
            "telephone_number": "914-681-0600",
            "fax_number": "914-681-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE PLAINS PHYSICIAN SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "PALUMBO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "914-681-1210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Plains Physician Services P C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.