Individual provider Active NPI

Cristina Mazzoni Palumbo, M.D.

  • Allergy & Immunology Physician
  • Salem, MA
National Provider Identifier
1790722387
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
217478 Issued in MA
Practice address
114R Highland Ave
Salem, MA 01970-2723
Phone
(978) 745-4767
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 217478 MA Primary

Addresses

Primary practice location

114R Highland Ave
Salem, MA 01970-2723

Mailing address

5 Rebecca LN
Stoneham, MA 02180-1341
Phone (978) 745-4767

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Palumbo.Cristina.NSAA@direct.partners.masshiway.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20061002000041 MA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 0244235968 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Boston University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy Affiliates of DanversGroup PAC ID 6103079884, 6 clinicians
Asthma and Allergy Affiliates IncGroup PAC ID 6507936531, 6 clinicians

Practice addresses (Care Compare)

114 R Highland Ave
Salem, MA 01970-2723
Phone (978) 745-3711

Hospital & facility affiliations

  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035
  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma and Allergy Affiliates Inc Current Accepting new patients
Asthma & Allergy Affiliates Inc CurrentSince Aug 28, 2006 Accepting new patients
Allergy Affiliates of Danvers CurrentSince Jan 1, 2013 Accepting new patients

Locations

140 Commonwealth Ave
Ste 103
Danvers, MA 01923
Phone (978) 777-0970

80 Lindall St
Danvers, MA 01923
Phone (978) 777-0970

114R Highland Ave
Salem, MA 01970
Phone (978) 745-3711

114 Highland Ave
Rear
Salem, MA 01970
Phone (978) 745-3711

Interoperability endpoints

  • Direct secure messaging: palumbo.cristina.nsaa@direct.partners.masshiway.net

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.

Hospital & facility affiliations 3

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1790722387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REBECCA LN",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801341",
            "telephone_number": "978-745-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114R HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702723",
            "telephone_number": "978-745-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZONI PALUMBO",
        "first_name": "CRISTINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "217478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Palumbo.Cristina.NSAA@direct.partners.masshiway.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "114R Highland Ave",
            "city": "Salem",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019702723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.