NPIMap

Individual provider Active NPI

Michael J Palumbo, MD

  • Internal Medicine Physician
  • White Plains, NY
National Provider Identifier
1174521678
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
170670 Issued in NY
Practice address
41 E Post Rd
White Plains, NY 10601-4607
Phone
(914) 681-1204
Fax
(914) 681-2902
NPI assigned
Jul 8, 2005
Last updated
Jul 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 170670 NY Primary

Addresses

Primary practice location

41 E Post Rd
White Plains, NY 10601-4607

Mailing address

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-1204

Other identifiers 1

IdentifierTypeStateIssuer
01200068MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040423001060 NY Practitioner - Internal Medicine 1052307048 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
White Plains Medical Diagnostic Services, PC Internal Medicine CurrentSince Nov 1, 2011 Accepting new patients
East Post Road Medical Services PC CurrentSince Apr 1, 2019 Accepting new patients
Cancer and Blood Medical Services of New York PC Internal Medicine PastSince Sep 21, 2013 Accepting new patients
Murray Hill Medical Group PC Past Accepting new patients

Locations

99 Business Park Dr
Armonk, NY 10504
Phone (914) 219-8515

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

259 Heathcote Rd
Scarsdale, NY 10583
Phone (914) 328-8444

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
White Plains Hospital CenterWhite Plains, NY, CCN 330304 Hospital Corporate Director Nov 10, 2010
Burke Rehabilitation HospitalWhite Plains, NY, CCN 333030 Hospital Corporate Director Sep 22, 2016
Hospice of WestchesterWhite Plains, NY, CCN 331520 Hospice Corporate Director Jan 1, 2017

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1174521678",
    "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": "914-681-1204",
            "fax_number": "914-681-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E POST RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014607",
            "telephone_number": "914-681-1204",
            "fax_number": "914-681-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUMBO",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "170670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01200068",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.