Active NPI
Padma Palvai, MD
- Psychiatry Physician
- Somerville, NJ
National Provider Identifier
1891769527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA07951200
- Practice address
- 15 W High St Unit a
Somerville, NJ 08876-2103 - Phone
- (908) 366-7862
- Fax
- (908) 928-7868
- NPI assigned
- Feb 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2017-01766 | NC | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 25MA07951200 | NJ | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 2017-01766 | NC | |
| Psychiatry Physician | 2084P0800X | 25MA07951200 | NJ | Primary |
Addresses
Primary practice location
15 W High St Unit a
Somerville, NJ 08876-2103
Mailing address
15 W High St Unit a
Somerville, NJ 08876-2103
Phone (908) 366-7862
Other practice location 1
342 Madison Hill Rd
Clark, NJ 07066-2227
Phone (732) 827-5885
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0078255 | Medicaid | NJ | |
| 1891769527 | Medicaid | NC |
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 |
|---|---|---|---|
| 2017-01766 | NC | MD | Psychiatry Physician |
| 25MA07951200 | NJ | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindspace Health | Psychiatry | Current | Accepting new patients |
| Hunterdon Medical Center | Past | Accepting new patients |
Locations
15 W High St
Unit A
Somerville, NJ 08876
Phone (908) 366-7862
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.
-
- Psychiatry Physician
- Somerville, NJ
- NPI 1063378172
-
- Family Medicine Physician
- Clinton, NJ
- NPI 1942362181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714780800000",
"number": "1891769527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 W HIGH ST UNIT A",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088762103",
"telephone_number": "908-366-7862",
"fax_number": "908-928-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 W HIGH ST UNIT A",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088762103",
"telephone_number": "908-366-7862",
"fax_number": "908-928-7868"
}
],
"practiceLocations": [
{
"address_1": "342 Madison Hill Rd",
"address_purpose": "LOCATION",
"city": "Clark",
"state": "NJ",
"postal_code": "070662227",
"country_code": "US",
"telephone_number": "732-827-5885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALVAI",
"first_name": "PADMA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2024-05-04",
"certification_date": "2024-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2017-01766",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NJ",
"license": "25MA07951200",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NC",
"license": "2017-01766",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA07951200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0078255",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891769527",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.