Active NPI
Michael C Palma, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Vineland, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 22DI02412500
- Practice address
- 1318 S Main Rd Ste 4B
Vineland, NJ 08360-6516 - Phone
- (856) 692-8300
- NPI assigned
- May 2, 2007
- Last updated
- Nov 21, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS036515 | PA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 22DI02412500 | NJ | Primary |
Addresses
Primary practice location
1318 S Main Rd Ste 4B
Vineland, NJ 08360-6516
Mailing address
1318 S Main Rd Ste 4B
Vineland, NJ 08360-6516
Phone (856) 692-8300
Other practice location 1
909 Walnut St
Suite 300
Philadelphia, PA 19107
Phone (215) 955-6215
Other practice location 2
1117 Highway 77
Bridgeton, NJ 08302-3650
Phone (856) 451-2424
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1117 Hwy 77
Suite D
Bridgeton, NJ 08302-3650
Phone (856) 451-2424
1318 S Main Rd
Suite 4B
Vineland, NJ 08360-6516
Phone (856) 692-8300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02412500 | NJ | MD | Oral and Maxillofacial Surgery (Dentist) |
| DS036515 | PA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vineland Oral Surgeons PA | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Jefferson Medical Care, PC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Locations
1117 Highway 77
Ste D
Bridgeton, NJ 08302
Phone (856) 451-2424
1318 S Main Rd
Ste 4B
Vineland, NJ 08360
Phone (856) 692-8300
Organizations & group practices 2
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Vineland, NJ
- NPI 1588729362
-
- Nephrology Physician
- Philadelphia, PA
- NPI 1164511747
Oral and Maxillofacial Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1598986770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1318 S MAIN RD STE 4B",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083606516",
"telephone_number": "856-692-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1318 S MAIN RD STE 4B",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083606516",
"telephone_number": "856-692-8300"
}
],
"practiceLocations": [
{
"address_1": "909 Walnut St",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "19107",
"country_code": "US",
"telephone_number": "215-955-6215",
"fax_number": "215-923-9189",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1117 Highway 77",
"address_purpose": "LOCATION",
"city": "Bridgeton",
"state": "NJ",
"postal_code": "083023650",
"country_code": "US",
"telephone_number": "856-451-2424",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALMA",
"first_name": "MICHAEL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PA",
"license": "DS036515",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NJ",
"license": "22DI02412500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.