Individual provider Active NPI

Michael C Palma, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Vineland, NJ
National Provider Identifier
1598986770
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22DI02412500 Issued in NJ
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100225000393 NJ Practitioner - Oral Surgery 3274677406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Vineland Oral Surgeons PAGroup PAC ID 4082767595, 3 clinicians

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

LicenseStateTypeSpecialty
22DI02412500NJMDOral and Maxillofacial Surgery (Dentist)
DS036515PAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Vineland Oral Surgeons PA Oral and Maxillofacial Surgery CurrentSince Jan 6, 2010 Accepting new patients
Jefferson Medical Care, PC Oral and Maxillofacial Surgery PastSince Jun 8, 1992 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.

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

Verify at the official NPI Registry.