Individual provider Active NPI

Thomas Palumbo, RN, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1194041046
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401221 Issued in NY
Practice address
115 Payson Ave Apt 4F
New York, NY 10034-2775
Phone
(212) 304-3897
NPI assigned
Apr 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 6105794 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401221 NY Primary

Addresses

Primary practice location

115 Payson Ave Apt 4F
New York, NY 10034-2775

Mailing address

115 Payson Ave Apt 4F
New York, NY 10034-2775
Phone (212) 304-3897

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260203002195 NY Order and Referring Only - Nurse Practitioner 3173001831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
6105794NYMDAdult Psychiatric/Mental Health Registered Nurse
F401221NYMDPsychiatric/Mental Health Nurse Practitioner

Networks

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

NPI Registry JSON

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

{
    "created_epoch": "1271548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1194041046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PAYSON AVE APT 4F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100342775",
            "telephone_number": "212-304-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PAYSON AVE APT 4F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100342775",
            "telephone_number": "212-304-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUMBO",
        "first_name": "THOMAS",
        "credential": "RN, NPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-18",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "6105794",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.