Individual provider Active NPI

Jessica B Gallina, MD PC

  • Orthopaedic Foot and Ankle Surgery Physician
  • New York, NY
National Provider Identifier
1245330885
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
215872 Issued in NY
Practice address
240 Central Park So
Ste 2-0
New York, NY 10019
Phone
(212) 265-0255
Fax
(212) 265-0233
NPI assigned
Sep 24, 2006
Last updated
Aug 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 215872 NY Primary

Addresses

Primary practice location

240 Central Park So
Ste 2-0
New York, NY 10019

Mailing address

240 Central Park So
Ste 2-0
New York, NY 10019
Phone (212) 265-0255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2020 through Jul 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Icahn School of Medicine at Mount Sinai, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

240 Central Park S
Suite 20
New York, NY 10019-1457

240 Central Park So
Suite 2 0
New York, NY 10019-1457

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Hospital and Medical Center Single Specialty Past Accepting new patients
St Lukes Roosevelt Community Care Single Specialty Past Accepting new patients
Foot & Ankle Medical Care PC Single Specialty Past Accepting new patients

Networks

  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: jeg9194@direct.nyp.org
  • Direct secure messaging: jessicagallina.254.5408@securemailmdscloud.mdsynergy.com
  • Direct secure messaging: jgallina67195@northwell.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1245330885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CENTRAL PARK SO",
            "address_2": "STE 2-0",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-265-0255",
            "fax_number": "212-265-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CENTRAL PARK SO",
            "address_2": "STE 2-0",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-265-0255",
            "fax_number": "212-265-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLINA",
        "first_name": "JESSICA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NY",
            "license": "215872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.