Active NPI
Trinidad P Palmiery, MD
- Psychiatry Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 1936541
- Practice address
- Koicheff Clinic 2324 Forest Ave
Staten Island, NY 10303 - Phone
- (718) 447-0200
- Fax
- (718) 981-1431
- NPI assigned
- Feb 12, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 1936541 | NY | Primary |
Addresses
Primary practice location
Koicheff Clinic 2324 Forest Ave
Staten Island, NY 10303
Mailing address
1905 Kennedy Blvd
Jersey City, NJ 07305
Phone (201) 985-2314
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1936541 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Community Health Centers, Inc. | Current | Accepting new patients | |
| United Cerebral Palsy Associations of New York State, Inc. | Current | Accepting new patients | |
| Metro Community Health Centers, Inc. | Current | Accepting new patients |
Locations
979 Cross Bronx Expy
Bronx, NY 10460
Phone 71866575653009
177 Livingston St
Lowr
Brooklyn, NY 11201
Phone (718) 855-7707
40 Rector St
Fl 15
New York, NY 10006
Phone (929) 647-4796
335 E 24th St
Ste 1B
New York, NY 10010
Phone (212) 209-5102
2324 Forest Ave
Staten Island, NY 10303
Phone (718) 447-0200
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- trinidad.palmiery@metrochc.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1841536554
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1649837113
-
- Clinic/Center
- Bronx, NY
- NPI 1366507758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467594960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 KENNEDY BLVD",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07305",
"telephone_number": "201-985-2314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KOICHEFF CLINIC 2324 FOREST AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10303",
"telephone_number": "718-447-0200",
"fax_number": "718-981-1431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMIERY",
"first_name": "TRINIDAD",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "1936541",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.