Active NPI
Lisa Marie Paladino, MS, RNC, CNM
- Midwife
- Staten Island, NY
National Provider Identifier
1427371343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- F001318
- Practice address
- 2285 Victory Blvd
Staten Island, NY 10314-6625 - Phone
- (718) 226-3204
- NPI assigned
- Mar 5, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | F001318 | NY | Primary |
Addresses
Primary practice location
2285 Victory Blvd
Staten Island, NY 10314-6625
Mailing address
4945 Amboy Rd
Staten Island, NY 10312-4842
Phone (718) 966-0035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03241105 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F001318 | NY | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1427371343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4945 AMBOY RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103124842",
"telephone_number": "718-966-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2285 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146625",
"telephone_number": "718-226-3204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALADINO",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "MS, RNC, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-05",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NY",
"license": "F001318",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03241105",
"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 Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.