Gail I Mandra Stallone, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

053058-1 Issued in NY

Practice address

445 Broadhollow Rd
Suite 228
Melville, NY 11747-3669

Phone

(631) 827-8200

Fax

(631) 501-1103

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1124132832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 BROADHOLLOW RD",
            "address_2": "SUITE 228",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473669",
            "telephone_number": "631-827-8200",
            "fax_number": "631-501-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BROADHOLLOW RD",
            "address_2": "SUITE 228",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473669",
            "telephone_number": "631-827-8200",
            "fax_number": "631-501-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDRA STALLONE",
        "first_name": "GAIL",
        "middle_name": "I",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "053058-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A300062673",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0039339",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ilene Hope Malefatto
• Mehak Malhotra
• Andrea Maliza Barbosa
• Melvin Manalo, RN
• Alexandra Marie Mancuso
• Benadelle N/a Manigat
• Kumari Nyimeh Manigault
• Jessica Morgan Manners
• Deveena Mannichan
• Stephanie Manning, LMSW

• Clinical Social Worker in Melville, NY
• Providers in Melville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.