Individual provider Active NPI

Herbert George Palmer, NP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1154820983
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
303816 Issued in NY
Practice address
131 Lincoln Rd Apt 6F
Brooklyn, NY 11225-4025
Phone
(917) 975-7800
Fax
(347) 715-5916
NPI assigned
Feb 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 303816 NY Primary

Addresses

Primary practice location

131 Lincoln Rd Apt 6F
Brooklyn, NY 11225-4025

Mailing address

131 Lincoln Rd Apt 6F
Brooklyn, NY 11225-4025
Phone (917) 975-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
303816NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1154820983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 LINCOLN RD APT 6F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112254025",
            "telephone_number": "917-975-7800",
            "fax_number": "347-715-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 LINCOLN RD APT 6F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112254025",
            "telephone_number": "917-975-7800",
            "fax_number": "347-715-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "HERBERT",
        "middle_name": "GEORGE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "303816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.