Organization Active NPI

Galleria Medical Associates PLLC

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1265725600
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GALLERIA MEDICAL ASSOCIATES PLLC
Practice address
115 E 57TH St Ste 510
New York, NY 10022-2221
Phone
(718) 222-5999
NPI assigned
May 18, 2011
Last updated
May 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Dominick Cannavo
Title
Treasurer
Phone
(718) 222-5999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

115 E 57TH St Ste 510
New York, NY 10022-2221

Mailing address

347 5TH Ave RM 402
New York, NY 10016-5007

National Provider Directory

National Provider Directory

Locations

347 5th Ave
Rm 402
New York, NY 10016

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1265725600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 5TH AVE RM 402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST STE 510",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222221",
            "telephone_number": "718-222-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLERIA MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "CANNAVO",
        "authorized_official_first_name": "DOMINICK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "718-222-5999"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 18, 2011; 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.