Active NPI
Palumbo Gastroenterology PC
- Gastroenterology Physician
- Staten Island, NY
National Provider Identifier
1396370292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- PALUMBO GASTROENTEROLOGY PC
- Practice address
- 115 Anthony St
Staten Island, NY 10309 - Phone
- (718) 744-8348
- Fax
- (516) 244-4170
- NPI assigned
- Mar 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frank Michael Palumbo, M.D.
- Title
- President
- Phone
- (718) 744-8348
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
115 Anthony St
Staten Island, NY 10309
Mailing address
115 Anthony St
Staten Island, NY 10309
Phone (718) 744-8348
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02351435 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
1662 Old Country Rd
Unit 582
Plainview, NY 11803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583884800000",
"number": "1396370292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 ANTHONY ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10309",
"telephone_number": "718-744-8348",
"fax_number": "516-244-4170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 ANTHONY ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10309",
"telephone_number": "718-744-8348",
"fax_number": "516-244-4170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALUMBO GASTROENTEROLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-11",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A",
"authorized_official_last_name": "PALUMBO",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-744-8348",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02351435",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.