Active NPI
Galileo Medical Group Ga, P.C.
- Family Medicine Physician
- New York, NY
National Provider Identifier
1245920305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GALILEO MEDICAL GROUP GA, P.C.
- Practice address
- 632 Broadway PH 12
New York, NY 10012-2614 - Phone
- (347) 588-0601
- NPI assigned
- May 11, 2023
- Last updated
- May 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Lee, MD
- Title
- President
- Phone
- (347) 588-0601
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Internal Medicine Physician | 207R00000X | NU |
Addresses
Primary practice location
632 Broadway PH 12
New York, NY 10012-2614
Mailing address
64 Bleecker St # 151
New York, NY 10012-2410
Phone (347) 588-0601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 53
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683763200000",
"number": "1245920305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 BLEECKER ST # 151",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100122410",
"telephone_number": "347-588-0601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 BROADWAY PH 12",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100122614",
"telephone_number": "347-588-0601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GALILEO MEDICAL GROUP GA, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-11",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-588-0601",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.