Marilyn Galler, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

130541 Issued in NY

Practice address

1874 Pelham Pkwy S
Bronx, NY 10461-3733

Phone

(718) 931-5800

Fax

(718) 518-7065

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• New York Queens Medicine and Surgery, P.C.

  • Pediatrics Physician
  • Fresh Meadows, NY
  • NPI 1003114851
  Medicare reassignment
• Nephrology Associates, P.C.

  • Nephrology Physician
  • Flushing, NY
  • NPI 1326165069
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033132022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613733",
            "telephone_number": "718-931-5800",
            "fax_number": "718-518-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613733",
            "telephone_number": "718-931-5800",
            "fax_number": "718-518-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLER",
        "first_name": "MARILYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "130541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00796649",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniela Gallego
• Gennesis Andrea Gallego
• Sandra M Gallego, PHYSICIAN ASSISTANT
• Juanita Gallegos, R.N.
• Kelly Gallegos
• Mark James Galliguez, PA
• Stacian Gallimore-King, NP
• Latasha Gallimore
• Michelle S Gallimore
• Tashea Tamika Gallimore, MS, PNP, RN, CPN

• Nephrology Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.