Individual provider Active NPI

Joseph Palomba, PA-C

  • Medical Physician Assistant
  • Fitchburg, MA
National Provider Identifier
1952759441
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA5869 Issued in MA
Practice address
881 Main St
Fitchburg, MA 01420-3057
Phone
(413) 584-4040
NPI assigned
May 25, 2016
Last updated
May 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA5869 MA Primary

Addresses

Primary practice location

881 Main St
Fitchburg, MA 01420-3057

Mailing address

945 Worcester St
Natick, MA 01760-2032
Phone (508) 650-6208

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160831001636 MA Practitioner - Physician Assistant 1153617113 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA5869MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Massachusetts, PC CurrentSince Dec 1, 2017 Accepting new patients
Afc Physicians of Massachusetts CurrentSince Dec 1, 2017 Accepting new patients
Afc Physicians of Massachusetts, PC CurrentSince Jun 11, 2016 Accepting new patients

Locations

370 Providence Hwy
Dedham, MA 02026
Phone (781) 461-0200

945 Worcester St
Natick, MA 01760
Phone (508) 650-6208

119 Coggeshall St
New Bedford, MA 02746
Phone (508) 235-5339

371 Broadway
Saugus, MA 01906
Phone (781) 233-1000

415 Cooley St
Unit 3
Springfield, MA 01128
Phone (413) 782-4878

117 Stafford St
Ste A
Worcester, MA 01603
Phone (508) 755-4010

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1952759441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 WORCESTER ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602032",
            "telephone_number": "508-650-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 MAIN ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014203057",
            "telephone_number": "413-584-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMBA",
        "first_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-25",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA5869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

Verify at the official NPI Registry.