NPIMap

Individual provider Active NPI

Nicholas G. Palladino, MD

  • Internal Medicine Physician
  • Sicklerville, NJ
National Provider Identifier
1639116569
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06548800 Issued in NJ
Practice address
485 Williamstown Rd
Sicklerville, NJ 08081-1777
Phone
(856) 227-6575
Fax
(856) 237-8042
NPI assigned
May 31, 2006
Last updated
May 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06548800 NJ Primary

Addresses

Primary practice location

485 Williamstown Rd
Sicklerville, NJ 08081-1777

Mailing address

402 Lippincott Dr
Marlton, NJ 08053-4112
Phone (856) 782-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090306000419 NJ Practitioner - Internal Medicine 1850386533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

175 Cross Keys Rd
Suite 300a
Berlin, NJ 08009-9263
Phone (856) 767-0077

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06548800NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Internal Medicine CurrentSince Jan 1, 2009 Accepting new patients
Advocare , LLC Internal Medicine CurrentSince Jan 1, 2009 Accepting new patients
Fountains CCRC Holding LLC Past Accepting new patients
Premier Cadbury LLC Past Accepting new patients
Senior Care of Minnesota PastSince Mar 30, 2019 Accepting new patients
Medford Convalescent & Nursing Center Past Accepting new patients
Virtua - West Jersey Health System, Inc. Past Accepting new patients
Advocare, LLC Internal Medicine Past Accepting new patients
Cooper Operating LLC Past Accepting new patients

Locations

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

485 Williamstown New Freedom Rd
Sicklerville, NJ 08081
Phone (856) 237-8100

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cooper Center for Rehabilitation & HealthcareCamden, NJ, CCN 315205 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 30, 2023
Nov 30, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Cooper Operating LLC

    dba Majestic Center for Rehab & Sub- Acute Care

    • Skilled Nursing Facility
    • Camden, NJ
    • NPI 1720419666

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 9

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1639116569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534112",
            "telephone_number": "856-782-3300",
            "fax_number": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 WILLIAMSTOWN RD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811777",
            "telephone_number": "856-227-6575",
            "fax_number": "856-237-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLADINO",
        "first_name": "NICHOLAS",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06548800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

Verify at the official NPI Registry.