Individual provider Active NPI

Alberto Miguel Palomino, LCSW

  • Clinical Social Worker
  • Forest Hills, NY
National Provider Identifier
1770667511
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070632-1 Issued in NY
Practice address
11011 Queens Blvd Ste 1CC
Forest Hills, NY 11375-5438
Phone
(718) 490-8899
NPI assigned
Oct 25, 2006
Last updated
Jan 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 070632-1 NY Primary
Clinical Social Worker 1041C0700X 070632 NY

Addresses

Primary practice location

11011 Queens Blvd Ste 1CC
Forest Hills, NY 11375-5438

Mailing address

6738 108TH St Apt B61
Forest Hills, NY 11375-7935
Phone (718) 490-8899

Other practice location 1

7558 113th St Ste 1
Forest Hills, NY 11375-7427
Phone (718) 490-8899

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040823001577 NY Practitioner - Clinical Social Worker 3971575796 Reassigns benefits to 2 organizations
Practice locations: Forest Hills, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

1554 Northern Blvd
Suite 106
Manhasset, NY 11030-3006
Phone (516) 472-5800

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070632NYMDClinical Social Worker
070632-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Aug 1, 2022 Accepting new patients
Jamaica Hospital CurrentSince Apr 14, 2018 Accepting new patients
Jamaica Hospital CurrentSince Apr 14, 2018 Accepting new patients
North Shore - Lij Medical PC CurrentSince Aug 1, 2022 Accepting new patients
Jamaica Psychiatric Services, PC Past Accepting new patients

Locations

9009 Van Wyck Expy
Jamaica, NY 11435
Phone (718) 206-5575

9009 Van Wyck Expy
Fl 2
Jamaica, NY 11435

1554 Northern Blvd
Ste 106
Manhasset, NY 11030
Phone (516) 390-9700

300 Community Dr
Manhasset, NY 11030

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Networks

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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1770667511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6738 108TH ST APT B61",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757935",
            "telephone_number": "718-490-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 QUEENS BLVD STE 1CC",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755438",
            "telephone_number": "718-490-8899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7558 113th St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113757427",
            "country_code": "US",
            "telephone_number": "718-490-8899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALOMINO",
        "first_name": "ALBERTO",
        "middle_name": "MIGUEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070632-1",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070632",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.