Active NPI
Orville Palmer, M.D.
- Health Service Clinic/Center
- New York, NY
National Provider Identifier
1548402613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 208819
- Legal business name
- ORVILLE PALMER, M.D.
- Practice address
- 1783 Madison Ave
New York, NY 10035-4537 - Phone
- (212) 348-6001
- Fax
- (212) 348-6067
- NPI assigned
- Apr 3, 2009
- Last updated
- Apr 3, 2009
- 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. Orville Dave Palmer, M.D.
- Title
- Owner
- Phone
- (917) 501-6193
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 208819 | NY | Primary |
Addresses
Primary practice location
1783 Madison Ave
New York, NY 10035-4537
Mailing address
PO Box 891
New York, NY 10037-0891
Phone (347) 539-9023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01914841 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
1783 Madison Ave
New York, NY 10035
Phone (212) 348-6001
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.
-
- Otolaryngology Physician
- New York, NY
- NPI 1629015888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238716800000",
"number": "1548402613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 891",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100370891",
"telephone_number": "347-539-9023",
"fax_number": "718-471-4791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1783 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100354537",
"telephone_number": "212-348-6001",
"fax_number": "212-348-6067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORVILLE PALMER, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-03",
"last_updated": "2009-04-03",
"status": "A",
"authorized_official_last_name": "PALMER",
"authorized_official_first_name": "ORVILLE",
"authorized_official_middle_name": "DAVE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-501-6193",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NY",
"license": "208819",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01914841",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.