Anthony John Palumbo, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

055615 Issued in NY

Practice address

1532 Route 9
Clifton Park, NY 12065-5605

Phone

(518) 371-8481

Fax

(518) 371-6326

NPI assigned

Aug 16, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 20, 2017 through Mar 20, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Capital Area Hudson Valley New York Dental PC

  • General Practice Dentistry
  • Halfmoon, NY
  • NPI 1710020672
  NPD (past)
• Vienna Periodontics

  • Dental Clinic/Center
  • Vienna, VA
  • NPI 1528415809
  NPD (past)
• Virginia Orthodontics and Periodontics

  • Periodontics
  • Vienna, VA
  • NPI 1942568258
  NPD (past)

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1154600591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EXECUTIVE PARK DR",
            "address_2": "SUITE C",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120655601",
            "telephone_number": "518-348-0240",
            "fax_number": "518-348-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 ROUTE 9",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120655605",
            "telephone_number": "518-371-8481",
            "fax_number": "518-371-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUMBO",
        "first_name": "ANTHONY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "055615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl L Osborne
• Cheryl Ostryn, PHD, BCBA-D
• Songye Pai
• Kim Palmer, MSP.CCC.SLP
• Lisa Palmer, RPH
• Denise Michelle Pardo, M.A. CCC-SLP
• Sophia Park
• Kathryn Day Parker, MD
• Armenuhi Parzyan, FNP-BC
• Arsenio George Pascual, M.D.

• Periodontics in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.