Organization Active NPI

Palisades Pediatrics LLP

  • Pediatrics Physician
  • New City, NY
National Provider Identifier
1477661841
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
224474 Issued in NY
Legal business name
PALISADES PEDIATRICS LLP
Practice address
236 N Main St
New City, NY 10956-5302
Phone
(845) 708-0400
Fax
(845) 708-0401
NPI assigned
Aug 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Amy Elizabeth Spoto, MD
Title
Partner
Phone
(845) 708-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 224474 NY Primary

Addresses

Primary practice location

236 N Main St
New City, NY 10956-5302

Mailing address

236 N Main St
New City, NY 10956-5302
Phone (845) 708-0400

Other identifiers 1

IdentifierTypeStateIssuer
02739146MedicaidNY

National Provider Directory

National Provider Directory

Locations

236 N Main St
New City, NY 10956
Phone (845) 708-0400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15234/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477661841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 N MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565302",
            "telephone_number": "845-708-0400",
            "fax_number": "845-708-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 N MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565302",
            "telephone_number": "845-708-0400",
            "fax_number": "845-708-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADES PEDIATRICS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPOTO",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "845-708-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "224474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02739146",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.