Individual provider Active NPI

Rodney R Gallo Jr., DPM

  • Podiatrist
  • Acton, MA
National Provider Identifier
1407923485
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1708 Issued in MA
Practice address
179 Great Rd
Suite 101
Acton, MA 01720-5777
Phone
(978) 635-0229
Fax
(978) 635-0123
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1708 MA Primary

Addresses

Primary practice location

179 Great Rd
Suite 101
Acton, MA 01720-5777

Mailing address

179 Great Rd
Suite 101
Acton, MA 01720-5777
Phone (978) 635-0229

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

LicenseStateTypeSpecialty
1708MAMDPodiatrist
0314NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rodney R. Gallo Jr Podiatrist PastSince Jan 1, 1990 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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1407923485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 GREAT RD",
            "address_2": "SUITE 101",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205777",
            "telephone_number": "978-635-0229",
            "fax_number": "978-635-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 GREAT RD",
            "address_2": "SUITE 101",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205777",
            "telephone_number": "978-635-0229",
            "fax_number": "978-635-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLO",
        "first_name": "RODNEY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.