Individual provider Active NPI

Robert J Gariglio, ATHLETIC TRAINER

  • Athletic Trainer
  • Massapequa Park, NY
National Provider Identifier
1245755925
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
000378-1 Issued in NY
Practice address
301 Pittsburg Ave
Massapequa Park, NY 11762-1810
Phone
(516) 088-4415
NPI assigned
Aug 3, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 000378-1 NY Primary

Addresses

Primary practice location

301 Pittsburg Ave
Massapequa Park, NY 11762-1810

Mailing address

301 Pittsburg Ave
Massapequa Park, NY 11762-1810
Phone (516) 088-4415

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000378-1NYMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245755925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PITTSBURG AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621810",
            "telephone_number": "516-088-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PITTSBURG AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621810",
            "telephone_number": "516-088-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARIGLIO",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "ATHLETIC TRAINER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "000378-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.