Provider Demographics
NPI:1447255153
Name:WHITE PLAINS HOSPITAL MEDICAL CENTER
Entity type:Organization
Organization Name:WHITE PLAINS HOSPITAL MEDICAL CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP/MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:PALUMBO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-681-1158
Mailing Address - Street 1:41 E POST ROAD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-4615
Mailing Address - Country:US
Mailing Address - Phone:914-681-1210
Mailing Address - Fax:914-681-2839
Practice Address - Street 1:41 E POST ROAD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4615
Practice Address - Country:US
Practice Address - Phone:914-681-1210
Practice Address - Fax:914-681-2839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-17
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207P00000X, 207RC0200X, 282N00000X, 282NC0060X
NY5902001H282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282N00000XHospitalsGeneral Acute Care HospitalGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00274222Medicaid
NY1000017877OtherAFFINITY
NYH03134OtherOXFORD PROVIDER NUMBER
NY0060311OtherAETNA PROVIDER ID
FL0918822Medicaid
NY710605OtherMOHAWK VALLEY PLAN
NYIB0007OtherHEALTHNET PROVIDER ID
NY212700OtherBEACON HEALTH
NY000117OtherEMPIRE BLUE CROSS ID
NY100051OtherWELLCARE
NY1000017877OtherAFFINITY
NY212700OtherBEACON HEALTH
NY330304Medicare Oscar/Certification