Active NPI
White Plains Physician Services
- Durable Medical Equipment & Medical Supplies
- Harrison, NY
National Provider Identifier
1720713878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WHITE PLAINS PHYSICIAN SERVICES
- Practice address
- 600 Mamaroneck Ave
Harrison, NY 10528-1635 - Phone
- (914) 723-8100
- NPI assigned
- Jul 22, 2022
- Last updated
- Aug 29, 2024
- Organization subpart
- Yes
- Parent organization
- WHITE PLAINS PHYSICIAN SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael J Palumbo, MD
- Title
- Authorized Official
- Phone
- (914) 681-1210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
600 Mamaroneck Ave
Harrison, NY 10528-1635
Mailing address
PO Box 412931
Boston, MA 02241-2931
Phone (914) 681-1210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DMERC | Other | NY | DMERC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240226000459 | NY | DME Supplier - Physician - Podiatry | 3476894445 | Practice locations: Harrison, NY |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1124502687
3476894445
National Provider Directory
National Provider Directory- Tax ID family
- White Plains Physician Services
- Part of
- White Plains Physician Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- White Plains, NY
- NPI 1396529442
Locations
170 Maple Ave
Ste 202
White Plains, NY 10601
Phone (914) 682-0464
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1124502687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724889600000",
"number": "1720713878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 412931",
"city": "BOSTON",
"state": "MA",
"postal_code": "022412931",
"telephone_number": "914-681-1210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MAMARONECK AVE",
"city": "HARRISON",
"state": "NY",
"postal_code": "105281635",
"telephone_number": "914-723-8100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE PLAINS PHYSICIAN SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WHITE PLAINS PHYSICIAN SERVICES",
"enumeration_date": "2022-07-22",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A",
"authorized_official_last_name": "PALUMBO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "914-681-1210",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "DMERC",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrison, NY
- Juliet Pauletta West, FNP
- Westchester Jewish Community Services
- Westchester LCSW Therapy, PLLC
- Westchester Plastic Surgery PLLC
- White Plains Medical Services, P.C. (Scarsdale Medical Group)
- Jennie Williams Keller, CCC-SLP
- Angelina Williams
- Danissa Janelle Williams, MD
- Stephanie Lynn Wolman, O.D.
- Marissa Nicole Woodley, OTA, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.