Organization Active NPI

White Plains Physician Services

  • Durable Medical Equipment & Medical Supplies
  • Harrison, NY
National Provider Identifier
1720713878
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WHITE PLAINS PHYSICIAN SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DMERCOtherNYDMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

National Provider Directory

National Provider Directory
Tax ID family
White Plains Physician Services2 organizations share this tax ID, including this one
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.

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.

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

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.

Verify at the official NPI Registry.