Matthew Palombini, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

203605 Issued in NY

Practice address

1550 Richmond Ave
Suite 205
Staten Island, NY 10314

Phone

(718) 982-7800

Fax

(718) 982-7722

NPI assigned

Sep 28, 2006

Last updated

Jul 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nephrology

Education

Tufts University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Island Nephrology Services PCGroup PAC ID 8729977202, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Staten Island Dialysis Clinic/ Akc Dialysis facility, Staten Island, NY, CCN 332567
• Island Rehabilitative Services - Kew Gardens Dialysis Center Dialysis facility, Kew Gardens, NY, CCN 332589
• Richmond University Medical Center Hospital, Staten Island, NY, CCN 330028
• Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: mpalombini66892@northwell.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Island Nephrology Services, PC

  • Nephrology Physician
  • Staten Island, NY
  • NPI 1598753253
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Staten Island, NY
  • NPI 1518990993

  Dialysis facility

  Care Compare affiliation Name & address match
• Richmond Medical Center

  • General Acute Care Hospital
  • Staten Island, NY
  • NPI 1740389154
  Care Compare affiliation
• Staten Island University Hospital

  • General Acute Care Hospital
  • Staten Island, NY
  • NPI 1407877137
  Care Compare affiliation

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1568554806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 NEW DORP LN STE A",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062364",
            "telephone_number": "718-876-6220",
            "fax_number": "718-876-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 RICHMOND AVE",
            "address_2": "SUITE 205",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-982-7800",
            "fax_number": "718-982-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMBINI",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "203605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02372145",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Palmeri
• Dana Palmieri
• Lauren Palmieri
• Taylor Joanna Palmieri, OTR/L
• Trinidad P Palmiery, MD
• Palumbo Gastroenterology PC
• Alexandra Dominique Palumbo
• Laura Palumbo, LAC
• Janet Palumbokatz
• Alyssa Pammer, LMHC

• Nephrology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.