Active NPI
Pallimd, PLLC
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Norwalk, CT
National Provider Identifier
1982199212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 040847
- Legal business name
- PALLIMD, PLLC
- Doing business as
- PalliMD
- Practice address
- 128 East Ave Ste 2
Norwalk, CT 06851-5741 - Phone
- (203) 770-9277
- NPI assigned
- Jun 28, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Heather Sung, MD
- Title
- Authorized Officer
- Phone
- (203) 770-9277
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 040847 | CT | Primary |
Addresses
Primary practice location
128 East Ave Ste 2
Norwalk, CT 06851-5741
Mailing address
63 Fire Hill Rd
Redding, CT 06896-1005
Phone (203) 770-9277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001408477 | Medicaid | CT |
Other names 1
- PalliMD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
128 East Ave
Ste 2
Norwalk, CT 06851
Phone (203) 451-7212
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Norwalk, CT
- NPI 1568486041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1530144000000",
"number": "1982199212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 FIRE HILL RD",
"city": "REDDING",
"state": "CT",
"postal_code": "068961005",
"telephone_number": "203-770-9277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 EAST AVE STE 2",
"city": "NORWALK",
"state": "CT",
"postal_code": "068515741",
"telephone_number": "203-770-9277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALLIMD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-28",
"last_updated": "2018-06-28",
"status": "A",
"authorized_official_last_name": "SUNG",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "AUTHORIZED OFFICER",
"authorized_official_telephone_number": "203-770-9277",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "CT",
"license": "040847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001408477",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PalliMD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.