Active NPI
Gary V Paluba, PH.D.
- Psychologist
- Roslyn, NY
National Provider Identifier
1710064639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6382
- Practice address
- 1025 Northern Blvd
Suite 100
Roslyn, NY 11576-1506 - Phone
- (516) 365-7458
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6382 | NY | Primary |
Addresses
Primary practice location
1025 Northern Blvd
Suite 100
Roslyn, NY 11576-1506
Mailing address
145 E 92ND St
6A
New York, NY 10128-2431
Phone (212) 876-4936
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101018000298 | NY | Practitioner - Clinical Psychologist | 5890988331 | Practice locations: New York, NY; Roslyn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
145 E 92ND St
New York, NY 10128-2431
Phone (212) 876-4936
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006382 | NY | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1710064639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 E 92ND ST",
"address_2": "6A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101282431",
"telephone_number": "212-876-4936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 NORTHERN BLVD",
"address_2": "SUITE 100",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115761506",
"telephone_number": "516-365-7458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALUBA",
"first_name": "GARY",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "6382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roslyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.