Active NPI
Angelo David Palermo, M.D.
- Pediatrics Physician
- Westfield, NJ
National Provider Identifier
1700178993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA08927600
- Practice address
- 592B Springfield Ave
Westfield, NJ 07090-1026 - Phone
- (908) 233-8860
- Fax
- (908) 654-7728
- NPI assigned
- May 6, 2011
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A127894 | CA | |
| Pediatrics Physician | 208000000X | 25MA08927600 | NJ | Primary |
Addresses
Primary practice location
592B Springfield Ave
Westfield, NJ 07090-1026
Mailing address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Other practice location 1
2652 El Camino Real
Palo Alto Medical Foundation
Santa Clara, CA 95051-3041
Phone (408) 524-5952
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
| License | State | Type | Specialty |
|---|---|---|---|
| A127894 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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": "1304640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1700178993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DIAMOND HILL RD",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079222104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "592B SPRINGFIELD AVE",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070901026",
"telephone_number": "908-233-8860",
"fax_number": "908-654-7728"
}
],
"practiceLocations": [
{
"address_1": "2652 El Camino Real",
"address_2": "Palo Alto Medical Foundation",
"address_purpose": "LOCATION",
"city": "Santa Clara",
"state": "CA",
"postal_code": "950513041",
"country_code": "US",
"telephone_number": "408-524-5952",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALERMO",
"first_name": "ANGELO",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-06",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A127894",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA08927600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.