Provider Demographics
NPI:1821012394
Name:PALONI, STEPHEN (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:PALONI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 18736
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07191-8736
Mailing Address - Country:US
Mailing Address - Phone:800-426-1699
Mailing Address - Fax:
Practice Address - Street 1:601 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08629-1915
Practice Address - Country:US
Practice Address - Phone:609-599-5097
Practice Address - Fax:609-599-6312
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07258700207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA22-1994560OtherFIRST MCO
PA1032229OtherFIRST HEALTH NETWORK
PA0654243000OtherKHPE, PERSONAL CHOICE, AMERIHEALTH
PA22-1994560OtherDEVON
PA22-1994560OtherHEALTH AMERICA/HEALTH ASSURANCE
PA22-1994560OtherGREAT WEST HEALTHCARE
PA50085439OtherCAPITAL BLUE CROSS
PA745077OtherHIGHMARK BLUE SHIELD
PA22-1994560OtherPROCURA MANAGEMENT
PA22-1994560OtherUNITED HEALTHCARE/OXFORD
NJ22-1994560OtherHORIZON BLUE CROSS/BLUE SHIELD OF NEW JERSEY
PA7406476OtherCIGNA
NJ9076905Medicaid
PA4390492OtherAETNA
NJ1916328OtherAETNA-NJ
NJ22-1994560OtherFIRST MCO
PA7406476OtherCIGNA
PA22-1994560OtherDEVON
NJ9076905Medicaid
NJ199971RVBMedicare PIN
PA50085439OtherCAPITAL BLUE CROSS
PA22-1994560OtherFIRST MCO