Active NPI
Lucia Palladino, M.D.
- Specialist
- New York, NY
National Provider Identifier
1144306606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 5572383
- Practice address
- 110 E 59TH St
9 Floor
New York, NY 10022-1304 - Phone
- (212) 583-2993
- Fax
- (212) 644-8666
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 5572383 | NY | Primary |
Addresses
Primary practice location
110 E 59TH St
9 Floor
New York, NY 10022-1304
Mailing address
350 Albany St
Apt. 9a
New York, NY 10280-1409
Phone (212) 945-6680
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5572383 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amboy Medical Practice PC | Current | Accepting new patients | |
| Amboy Medical Practice PC | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients | |
| Richmond University Medical Center | Past | Accepting new patients |
Locations
4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015
275 Castleton Ave
Staten Island, NY 10301
Phone (718) 447-2829
355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- lpalladino564558@nychhc.direct-ci.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1700037975
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1104692672
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1467469023
-
- Multi-Specialty Clinic/Center
- Staten Island, NY
- NPI 1811054042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194998400000",
"number": "1144306606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 ALBANY ST",
"address_2": "APT. 9A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "102801409",
"telephone_number": "212-945-6680",
"fax_number": "212-945-6680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E 59TH ST",
"address_2": "9 FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221304",
"telephone_number": "212-583-2993",
"fax_number": "212-644-8666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALLADINO",
"first_name": "LUCIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2007-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "5572383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.