Active NPI
Thomas Martin Pallan, MD
- Diagnostic Radiology Physician
- Bedford Hills, NY
National Provider Identifier
1851369581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 157405
- Practice address
- 52 Main St
Bedford Hills, NY 10507-1814 - Phone
- (914) 666-2220
- Fax
- (914) 666-2987
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 157405 | NY | Primary |
Addresses
Primary practice location
52 Main St
Bedford Hills, NY 10507-1814
Mailing address
52 Main St
Bedford Hills, NY 10507-1814
Phone (914) 666-2220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01010668 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157405 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Center | Diagnostic Radiology | Past | Accepting new patients |
| St Catherine of Siena Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Mercy Medical Center - Radiology
- Diagnostic Radiology Physician
- Rockville Centre, NY
- NPI 1124062369
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1245318609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458777600000",
"number": "1851369581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 MAIN ST",
"city": "BEDFORD HILLS",
"state": "NY",
"postal_code": "105071814",
"telephone_number": "914-666-2220",
"fax_number": "914-666-2987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 MAIN ST",
"city": "BEDFORD HILLS",
"state": "NY",
"postal_code": "105071814",
"telephone_number": "914-666-2220",
"fax_number": "914-666-2987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALLAN",
"first_name": "THOMAS",
"middle_name": "MARTIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2016-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "157405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01010668",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bedford Hills, NY
- New York State Department of Correctional Services
- Julia E. Newton, OTR/L
- Allison Jill Nied, MD
- Noble Optical Corporation (Vision World)
- Connie Ostrow, LCSW
- Kathryn Palmesi, SLP
- Alyce Paniagua, D.M.D.
- Joanne K. Parker-Pollock, LCSW
- Parts of Speech, a Speech-Language Pathology PLLC (Parts of Speech)
- Vincent Pinedo, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.