Individual provider Active NPI

Shani K. Palmer, M.D., FACS, FASCRS

  • Colon & Rectal Surgery Physician
  • New Rochelle, NY
National Provider Identifier
1730319344
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
261990 Issued in NY
Practice address
20 Cedar St FL 3
New Rochelle, NY 10801-5260
Phone
(914) 534-5124
Fax
(914) 534-5198
NPI assigned
Jul 16, 2009
Last updated
May 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 261990 NY
Colon & Rectal Surgery Physician 208C00000X 261990 NY Primary

Addresses

Primary practice location

20 Cedar St FL 3
New Rochelle, NY 10801-5260

Mailing address

20 Cedar St FL 3
New Rochelle, NY 10801-5260
Phone (914) 534-5124

Other practice location 1

16 Guion Pl Fl 3
New Rochelle, NY 10801-5502
Phone (914) 365-3285

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151007002280 NY Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 8123336351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Icahn School of Medicine at Mount Sinai, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montefiore New Rochelle HospitalGroup PAC ID 0345474706, 62 clinicians

Practice addresses (Care Compare)

16 Guion PL
New Rochelle, NY 10801-5502
Phone (914) 365-4065

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
261990NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore New Rochelle Hospital CurrentSince Nov 14, 2014 Accepting new patients
Richard G. Karanfilian, M.D.,P.C. CurrentSince May 25, 2021 Accepting new patients
Montefiore New Rochelle Hospital Past Accepting new patients

Locations

110 Lockwood Ave
New Rochelle, NY 10801
Phone (914) 235-8911

110 Lockwood Ave
Ste 300
New Rochelle, NY 10801
Phone (914) 632-8164

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

16 Guion Pl
Fl 3
New Rochelle, NY 10801
Phone (914) 365-3285

20 Cedar St
New Rochelle, NY 10801
Phone (914) 576-5292

20 Cedar St
Fl 3
New Rochelle, NY 10801
Phone (914) 636-1700

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1730319344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CEDAR ST FL 3",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015260",
            "telephone_number": "914-534-5124",
            "fax_number": "914-534-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CEDAR ST FL 3",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015260",
            "telephone_number": "914-534-5124",
            "fax_number": "914-534-5198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Guion Pl Fl 3",
            "address_purpose": "LOCATION",
            "city": "New Rochelle",
            "state": "NY",
            "postal_code": "108015502",
            "country_code": "US",
            "telephone_number": "914-365-3285",
            "fax_number": "914-365-5440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "SHANI",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D., FACS, FASCRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "261990",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "261990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.