NPIMap

Individual provider Active NPI

Jason Marc Gallina, MD

  • Orthopaedic Surgery of the Spine Physician
  • New York, NY
National Provider Identifier
1356467229
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
234845 Issued in NY
Practice address
820 Second Avenue
7TH Floor
New York, NY 10017-1007
Phone
(212) 616-4130
Fax
(212) 691-6370
NPI assigned
Mar 22, 2007
Last updated
Dec 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 234845 NY
Orthopaedic Surgery of the Spine Physician 207XS0117X 234845 NY Primary

Addresses

Primary practice location

820 Second Avenue
7TH Floor
New York, NY 10017-1007

Mailing address

P O Box 182
New York, NY 10163-0182
Phone (212) 616-4130

Other identifiers 1

IdentifierTypeStateIssuer
234845OtherNYLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091210000228 NY Practitioner - Orthopedic Surgery 5496849499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

135 Madison Ave
5TH
New York, NY 10016-6725

135 Madison Ave
FL 5
New York, NY 10016-6759

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion38
Laminectomy or laminotomy (partial removal of spine bones)37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
234845NYMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Mar 15, 2011 Accepting new patients
New York University Orthopaedic Surgery CurrentSince Mar 15, 2011 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jasongallina.253.5151@securemailmdscloud.mdsynergy.com
  • Direct secure messaging: jgallina67194@northwell.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293062400000",
    "number": "1356467229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 182",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101630182",
            "telephone_number": "212-616-4130",
            "fax_number": "212-691-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SECOND AVENUE",
            "address_2": "7TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171007",
            "telephone_number": "212-616-4130",
            "fax_number": "212-691-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLINA",
        "first_name": "JASON",
        "middle_name": "MARC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2010-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "234845",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NY",
            "license": "234845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "234845",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.