Active NPI
Nicholas Palladino, M.D.
- Emergency Medicine Physician
- New Haven, CT
National Provider Identifier
1801259197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MA10847500
- Practice address
- 464 Congress Ave Ste 260
New Haven, CT 06519-1362 - Phone
- (203) 737-2644
- NPI assigned
- Apr 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 25MA10847500 | NJ | Primary |
Addresses
Primary practice location
464 Congress Ave Ste 260
New Haven, CT 06519-1362
Mailing address
464 Congress Ave
#260
New Haven, CT 06519-1361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.02 of 100
- Quality
- 87.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.51
Merit-based Incentive Payment System (MIPS)
- Final score
- 38.5 of 100
- Quality
- 30
- Improvement activities
- 0
- Cost
- 52.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10847500 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Associates of South Jersey P C | Emergency Medicine | Current | Accepting new patients |
| Bridgeport Hospital | Current | Accepting new patients | |
| Bridgeport Hospital | Current | Accepting new patients |
Locations
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000
435 Hurffville Cross Keys Rd
Turnersville, NJ 08012
Phone (856) 513-4124
Interoperability endpoints
- npalladino337581@direct.ynhh.org
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.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- Emergency Medicine Physician
- Voorhees, NJ
- NPI 1215965231
-
- General Acute Care Hospital
- Milford, CT
- NPI 1891376810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594944000000",
"number": "1801259197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 CONGRESS AVE",
"address_2": "#260",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 CONGRESS AVE STE 260",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191362",
"telephone_number": "203-737-2644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALLADINO",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-04",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MA10847500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.