Individual provider Active NPI

Gary A Galante, OD

  • Optometrist
  • Glen Cove, NY
National Provider Identifier
1003893587
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV4403 Issued in NY
Practice address
50 School St
Ste 1
Glen Cove, NY 11542
Phone
(516) 676-4561
Fax
(516) 676-4481
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV4403 NY Primary

Addresses

Primary practice location

50 School St
Ste 1
Glen Cove, NY 11542

Mailing address

50 School St
Ste 1
Glen Cove, NY 11542
Phone (516) 676-4561

Other identifiers 1

IdentifierTypeStateIssuer
01013450MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051026000032 NY Practitioner - Optometry 1052338498 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV4403NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Gary Galante O D P C CurrentSince Aug 6, 1984 Accepting new patients

Locations

50 School St
Glen Cove, NY 11542
Phone (516) 674-0035

50 School St
Ste 1
Glen Cove, NY 11542
Phone (516) 676-4561

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1003893587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SCHOOL ST",
            "address_2": "STE 1",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "11542",
            "telephone_number": "516-676-4561",
            "fax_number": "516-676-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SCHOOL ST",
            "address_2": "STE 1",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "11542",
            "telephone_number": "516-676-4561",
            "fax_number": "516-676-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALANTE",
        "first_name": "GARY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV4403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01013450",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.