Individual provider Active NPI

Laura A. Palumbo, PA-C

  • Orthopaedic Surgery Physician
  • West Orange, NJ
National Provider Identifier
1700975224
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MP00094000 Issued in NJ
Practice address
1500 Pleasant Valley Way
Suite 101
West Orange, NJ 07052-2956
Phone
(973) 669-5600
Fax
(973) 669-0199
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MP00094000 NJ Primary

Addresses

Primary practice location

1500 Pleasant Valley Way
Suite 101
West Orange, NJ 07052-2956

Mailing address

PO Box 1446
Suite 101
Morristown, NJ 07962-1446
Phone (973) 538-2334

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110818000730 NJ Practitioner - Physician Assistant 5092985507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Orthopaedic and Sports Medicine PAGroup PAC ID 7416840491, 43 clinicians

Practice addresses (Care Compare)

197 Ridgedale Ave
Cedar Knolls, NJ 07927-2111
Phone (973) 538-2334

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Merit-based Incentive Payment System (MIPS)

Final score
79.23 of 100Reported as group
Quality
79.62
Promoting interoperability
73
Improvement activities
40
Cost
73.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00094000NJMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Orthopaedic & Sports Medicine PA Orthopaedic Surgery CurrentSince Jan 25, 2017 Accepting new patients
Center for Orthopaedics, PA Orthopaedic Surgery Past Accepting new patients

Locations

197 Ridgedale Ave
Ste 300
Cedar Knolls, NJ 07927
Phone (605) 216-3916

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60912

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1700975224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1446",
            "address_2": "SUITE 101",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079621446",
            "telephone_number": "973-538-2334",
            "fax_number": "973-585-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PLEASANT VALLEY WAY",
            "address_2": "SUITE 101",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522956",
            "telephone_number": "973-669-5600",
            "fax_number": "973-669-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUMBO",
        "first_name": "LAURA",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MP00094000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.