NPIMap

Organization Active NPI

Laureen Gallo Inc

  • Nurse Practitioner
  • Ocean City, MD
National Provider Identifier
1235315276
Registry record updated Jan 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0001194155 Issued in VA
Legal business name
LAUREEN GALLO INC
Practice address
12417 Ocean Gtwy
A6
Ocean City, MD 21842-9521
Phone
(410) 213-7937
Fax
(410) 213-7939
NPI assigned
Jan 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2008

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

Authorized official

Name
Ms. Laureen Gallo, CRNP
Title
Owner
Phone
(410) 213-7937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 0001194155 VA Primary

Addresses

Primary practice location

12417 Ocean Gtwy
A6
Ocean City, MD 21842-9521

Mailing address

12417 Ocean Gtwy
A6
Ocean City, MD 21842-9521
Phone (410) 213-7937

Other identifiers 1

IdentifierTypeStateIssuer
146021800MedicaidMD

National Provider Directory

National Provider Directory

Locations

12417 Ocean Gtwy
Ste 6
Ocean City, MD 21842
Phone (410) 213-7937

NPI Registry JSON

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

{
    "created_epoch": "1200787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200787200000",
    "number": "1235315276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12417 OCEAN GTWY",
            "address_2": "A6",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218429521",
            "telephone_number": "410-213-7937",
            "fax_number": "410-213-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12417 OCEAN GTWY",
            "address_2": "A6",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218429521",
            "telephone_number": "410-213-7937",
            "fax_number": "410-213-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREEN GALLO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-20",
        "last_updated": "2008-01-20",
        "status": "A",
        "authorized_official_last_name": "GALLO",
        "authorized_official_first_name": "LAUREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-213-7937",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0001194155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146021800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2008; 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.