Individual provider Active NPI

Kathleen Grabo Pallay, FNP

  • Family Nurse Practitioner
  • Rome, NY
National Provider Identifier
1730521964
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F338097 Issued in NY
Practice address
91 Perimeter Rd
Rome, NY 13441
Phone
(315) 337-2151
NPI assigned
Jul 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F338097 NY Primary

Addresses

Primary practice location

91 Perimeter Rd
Rome, NY 13441

Mailing address

314 Elm St
Rome, NY 13440
Phone (315) 225-7531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F338097NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc CurrentSince Oct 1, 2014 Accepting new patients
MVHS Inc CurrentSince Oct 1, 2014 Accepting new patients
Emergency Physician Services of New York, P.C. CurrentSince Sep 1, 2014 Accepting new patients

Locations

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

91 Perimeter Rd
Ste 100
Rome, NY 13441
Phone (315) 336-5589

91 Perimeter Rd
Rome, NY 13441
Phone (315) 334-4786

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

1904 Genesee St
Utica, NY 13502
Phone (315) 793-8856

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1730521964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 ELM ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-225-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 PERIMETER RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13441",
            "telephone_number": "315-337-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLAY",
        "first_name": "KATHLEEN",
        "middle_name": "GRABO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

Verify at the official NPI Registry.