Active NPI
Nicole M. Gagliano, MD
- Pediatrics Physician
- Longwood, FL
National Provider Identifier
1437132875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME78672
- Practice address
- 550 E State Road 434
Longwood, FL 32750-5222 - Phone
- (407) 261-2917
- Fax
- (407) 262-5718
- NPI assigned
- Nov 21, 2005
- Last updated
- May 22, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME78672 | FL | Primary |
Addresses
Primary practice location
550 E State Road 434
Longwood, FL 32750-5222
Mailing address
550 E State Road 434
Longwood, FL 32750-5222
Phone (407) 261-2917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274249700 | Medicaid | FL |
Other names 1
- Nicole Gagliano Buddendorff
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME78672 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients |
Interoperability endpoints
- ngagliano27086@orlandohealth.medalliesdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590105600000",
"number": "1437132875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 E STATE ROAD 434",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327505222",
"telephone_number": "407-261-2917",
"fax_number": "407-262-5718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 E STATE ROAD 434",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327505222",
"telephone_number": "407-261-2917",
"fax_number": "407-262-5718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGLIANO",
"first_name": "NICOLE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-21",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME78672",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274249700",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "BUDDENDORFF",
"middle_name": "GAGLIANO",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.