Individual provider Active NPI

Apollo Neale Palomares, M.D.

  • Addiction Psychiatry Physician
  • Suffern, NY
National Provider Identifier
1750691457
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
277365 Issued in NY
Practice address
78 Lafayette Ave Ste 100
Suffern, NY 10901-5551
Phone
(845) 547-2854
NPI assigned
Oct 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X 277365 NY Primary

Addresses

Primary practice location

78 Lafayette Ave Ste 100
Suffern, NY 10901-5551

Mailing address

78 Lafayette Ave Ste 100
Suffern, NY 10901-5551
Phone (845) 547-2854

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
I20160122000982 NY Practitioner - Psychiatry 5294038337 Reassigns benefits to 3 organizations
Practice locations: Suffern, NY

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access: Supports for Living Inc. CurrentSince Apr 15, 2017 Accepting new patients
Samaritan Daytop Health CurrentSince Dec 31, 2024 Accepting new patients
Apollo N Palomares MD PC CurrentSince Aug 23, 2020 Accepting new patients
Access: Supports for Living Inc CurrentSince Apr 15, 2017 Accepting new patients
The Dale Association, Inc. CurrentSince Dec 5, 2020 Accepting new patients
The Mental Health Association of Westchester County, Inc. PastSince Aug 31, 2025 Accepting new patients
Samaritan Daytop Village, Inc. PastSince Dec 31, 2024 Accepting new patients

Locations

362 E 148th St
Bronx, NY 10455
Phone (347) 840-0855

13802 Queens Blvd
Jamaica, NY 11435
Phone (718) 298-5100

33 Ontario St
Lockport, NY 14094
Phone (716) 433-1937

16 Union St
Middletown, NY 10940
Phone (845) 343-5556

67 Windsor Hwy
Newburgh, NY 12553
Phone (845) 562-6850

89 River Rd
North Tonawanda, NY 14120
Phone (716) 693-9961

15 Fortune Rd W
Scotchtown, NY 10941
Phone (845) 673-7123

78 Lafayette Ave
Ste 100
Suffern, NY 10901
Phone (619) 952-2232

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/21970/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1750691457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 LAFAYETTE AVE STE 100",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015551",
            "telephone_number": "845-547-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 LAFAYETTE AVE STE 100",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015551",
            "telephone_number": "845-547-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMARES",
        "first_name": "APOLLO",
        "middle_name": "NEALE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-14",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NY",
            "license": "277365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

Verify at the official NPI Registry.