Active NPI
Luz P. Gargiullo, NURSE PRACTITIONER
- Adult Health Nurse Practitioner
- North Bellmore, NY
National Provider Identifier
1306808431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F300398-01
- Practice address
- 1099 Olympia Rd
North Bellmore, NY 11710-1938 - Phone
- (516) 729-9261
- Fax
- (516) 221-6881
- NPI assigned
- Apr 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | F340044-2 | NY | |
| Gerontology Nurse Practitioner | 363LG0600X | F34-00442 | NY | |
| Gerontology Nurse Practitioner | 363LG0600X | F340044-1 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | F300398-01 | NY | Primary |
Addresses
Primary practice location
1099 Olympia Rd
North Bellmore, NY 11710-1938
Mailing address
1099 Olympia Rd
North Bellmore, NY 11710-1938
Phone (516) 729-9261
Other practice location 1
69 S Broadway
Yonkers, NY 10701-4004
Phone (914) 376-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060428000291 | NY | Practitioner - Nurse Practitioner | 5799795134 | Practice locations: North Bellmore, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 340044 | NY | MD | Urology Physician |
| F300398-01 | NY | MD | Adult Health Nurse Practitioner |
| F34-00442 | NY | MD | Gerontology Nurse Practitioner |
| F340044-1 | NY | MD | Gerontology Nurse Practitioner |
| F340044-2 | NY | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Later Years Geriatric Consulting Services | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gerontology Clinical Nurse Specialist
- North Bellmore, NY
- NPI 1164300745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1306808431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1099 OLYMPIA RD",
"city": "NORTH BELLMORE",
"state": "NY",
"postal_code": "117101938",
"telephone_number": "516-729-9261",
"fax_number": "516-221-6881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1099 OLYMPIA RD",
"city": "NORTH BELLMORE",
"state": "NY",
"postal_code": "117101938",
"telephone_number": "516-729-9261",
"fax_number": "516-221-6881"
}
],
"practiceLocations": [
{
"address_1": "69 S Broadway",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107014004",
"country_code": "US",
"telephone_number": "914-376-5555",
"fax_number": "914-964-1477",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARGIULLO",
"first_name": "LUZ",
"middle_name": "P.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-04",
"last_updated": "2022-07-21",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NY",
"license": "F340044-2",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NY",
"license": "F34-00442",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NY",
"license": "F340044-1",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F300398-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Bellmore, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.