Active NPI
Joshua Palomera, MS, RD, LDN, CSN
- Registered Dietitian
- Yarmouth, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI1774
- Practice address
- 253 Main St
Yarmouth, ME 04096-6800 - Phone
- (207) 400-6188
- Fax
- (866) 519-6015
- NPI assigned
- Nov 30, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI1774 | ME | Primary |
Addresses
Primary practice location
253 Main St
Yarmouth, ME 04096-6800
Mailing address
204 Sabattus St Unit 1
Lewiston, ME 04240-6347
Phone (619) 857-6167
Other practice location 1
75 John Roberts Rd Bldg B
South Portland, ME 04106-6967
Phone (207) 775-4151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Kaleidoscope Eating Disorders and Diet Recovery Center | Past | Accepting new patients | |
| Mainehealth | Past | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
75 John Roberts Rd
Bldg B
South Portland, ME 04106
Phone (207) 662-5522
1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Maine Medical Partners Pediatrics
- Pediatrics Physician
- Saco, ME
- NPI 1134144090
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Gynecology Physician
- South Portland, ME
- NPI 1679887400
-
- Health Service Clinic/Center
- Portland, ME
- NPI 1356960728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1609586650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 SABATTUS ST UNIT 1",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042406347",
"telephone_number": "619-857-6167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "253 MAIN ST",
"city": "YARMOUTH",
"state": "ME",
"postal_code": "040966800",
"telephone_number": "207-400-6188",
"fax_number": "866-519-6015"
}
],
"practiceLocations": [
{
"address_1": "75 John Roberts Rd Bldg B",
"address_purpose": "LOCATION",
"city": "South Portland",
"state": "ME",
"postal_code": "041066967",
"country_code": "US",
"telephone_number": "207-775-4151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALOMERA",
"first_name": "JOSHUA",
"credential": "MS, RD, LDN, CSN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-30",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ME",
"license": "DI1774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yarmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.