Active NPI
Kristina Gallo, DDS
- Pediatric Dentistry
- Albertson, NY
National Provider Identifier
1285748731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 050802
- Practice address
- 21 Valentine Dr
Albertson, NY 11507-2221 - Phone
- (917) 754-5714
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 050802 | NY | Primary |
Addresses
Primary practice location
21 Valentine Dr
Albertson, NY 11507-2221
Mailing address
21 Valentine Dr
Albertson, NY 11507-2221
Phone (917) 754-5714
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050802 | NY | MD | Pharmacist |
Interoperability endpoints
- kgallo788242@direct.trinity-health.org
- kgallo24709@albanymed.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285748731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 VALENTINE DR",
"city": "ALBERTSON",
"state": "NY",
"postal_code": "115072221",
"telephone_number": "917-754-5714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 VALENTINE DR",
"city": "ALBERTSON",
"state": "NY",
"postal_code": "115072221",
"telephone_number": "917-754-5714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLO",
"first_name": "KRISTINA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "050802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albertson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.