Individual provider Active NPI

Gail Busillo, LCSW

  • Clinical Social Worker
  • East Meadow, NY
National Provider Identifier
1205991312
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R008070 Issued in NY
Practice address
1383 Apple LN
East Meadow, NY 11554-2702
Phone
(516) 485-1557
Fax
(516) 485-1557
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R008070 NY Primary

Addresses

Primary practice location

1383 Apple LN
East Meadow, NY 11554-2702

Mailing address

1383 Apple LN
East Meadow, NY 11554-2702
Phone (516) 485-1557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R008070NYMDClinical Social Worker
008070NYMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1205991312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 APPLE LN",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542702",
            "telephone_number": "516-485-1557",
            "fax_number": "516-485-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 APPLE LN",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542702",
            "telephone_number": "516-485-1557",
            "fax_number": "516-485-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSILLO",
        "first_name": "GAIL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R008070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.