Active NPI
Carmine Nicholas Palladino, MD
- Dermatology Physician
- Iowa City, IA
National Provider Identifier
1821799362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- R-13522
- Practice address
- 200 Hawkins Dr
Iowa City, IA 52242-1009 - Phone
- (319) 356-7546
- NPI assigned
- Mar 13, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dermatology Physician | 207N00000X | R-13522 | IA | Primary |
| Internal Medicine Physician | 207R00000X | 100990 | WI |
Addresses
Primary practice location
200 Hawkins Dr
Iowa City, IA 52242-1009
Mailing address
291 Westminster Blvd
Turnersville, NJ 08012-1620
Phone (856) 761-2492
Other practice location 1
291 Westminster Blvd
Turnersville, NJ 08012-1620
Phone (856) 761-2492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250617003715 | NJ | Order and Referring Only - Dermatology | 4981115870 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-13522 | IA | MD | Dermatology Physician |
| 100990 | WI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1821799362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 WESTMINSTER BLVD",
"city": "TURNERSVILLE",
"state": "NJ",
"postal_code": "080121620",
"telephone_number": "856-761-2492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-7546"
}
],
"practiceLocations": [
{
"address_1": "291 Westminster Blvd",
"address_purpose": "LOCATION",
"city": "Turnersville",
"state": "NJ",
"postal_code": "080121620",
"country_code": "US",
"telephone_number": "856-761-2492",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALLADINO",
"first_name": "CARMINE",
"middle_name": "NICHOLAS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-13",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IA",
"license": "R-13522",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "100990",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.