Individual provider Active NPI

Michael Palmieri, MD

  • Pediatrics Physician
  • Medford, NJ
National Provider Identifier
1477050417
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA11102800 Issued in NJ
Practice address
520 Stokes Rd BLDG 10
Medford, NJ 08055-2904
Phone
(609) 654-9112
NPI assigned
Apr 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 25MA11102800 NJ Primary

Addresses

Primary practice location

520 Stokes Rd BLDG 10
Medford, NJ 08055-2904

Mailing address

3 Cardinal CT
Marlton, NJ 08053-1449
Phone (856) 470-0448

Other practice location 1

910 Blackford St
Chattanooga, TN 37403-1405
Phone (423) 778-6217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210721002300 NJ Practitioner - Pediatric Medicine 7012266950 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Sep 1, 2021 Accepting new patients
Advocare, LLC Pediatrics CurrentSince Sep 1, 2021 Accepting new patients
Advocare, LLC Pediatrics Past Accepting new patients

Locations

3242 Route 206
Bldg A
Bordentown, NJ 08505
Phone (609) 298-4340

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

520 Stokes Rd
Ste B10
Medford, NJ 08055
Phone (609) 654-9112

520 Stokes Rd
Medford, NJ 08055
Phone (609) 654-6775

520 Stokes Rd
Bldg 10
Medford, NJ 08055
Phone (609) 654-9112

Interoperability endpoints

  • Direct secure messaging: michael.palmieri@advocaredoctors.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.

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1477050417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CARDINAL CT",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531449",
            "telephone_number": "856-470-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 STOKES RD BLDG 10",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552904",
            "telephone_number": "609-654-9112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Blackford St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374031405",
            "country_code": "US",
            "telephone_number": "423-778-6217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMIERI",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-06",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA11102800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

Verify at the official NPI Registry.