Individual provider Active NPI

John Joseph Palmieri, MD

  • Neurology Physician
  • Arlington, VA
National Provider Identifier
1689664864
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101257864 Issued in VA
Practice address
2100 Washington Blvd FL 4
Arlington, VA 22204-5717
Phone
(703) 228-1698
Fax
(703) 228-1117
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101257864 VA Primary
Psychiatry Physician 2084P0800X 224014 MA

Addresses

Primary practice location

2100 Washington Blvd FL 4
Arlington, VA 22204-5717

Mailing address

2100 Washington Blvd FL 4
Arlington, VA 22204-5717
Phone (703) 228-1698

Other identifiers 1

IdentifierTypeStateIssuer
2111101MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101257864VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bournewood Clinical Associates Psychiatry PastSince Jun 12, 1997 Accepting new patients
First Psychiatric Planners, Inc PastSince Dec 1, 2014 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1689664864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WASHINGTON BLVD FL 4",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222045717",
            "telephone_number": "703-228-1698",
            "fax_number": "703-228-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WASHINGTON BLVD FL 4",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222045717",
            "telephone_number": "703-228-1698",
            "fax_number": "703-228-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMIERI",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101257864",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "224014",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2111101",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.