Individual provider Active NPI

Gregory G Lovallo, M.D.

  • Urology Physician
  • Maywood, NJ
National Provider Identifier
1467515775
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA07875700 Issued in NJ
Practice address
255 W Spring Valley Ave
Suite 101
Maywood, NJ 07607-1445
Phone
(201) 487-8866
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 25MA07875700 NJ Primary

Addresses

Primary practice location

255 W Spring Valley Ave
Suite 101
Maywood, NJ 07607-1445

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address glovallo9981@njurology.direct-ci.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070616000022 NJ Practitioner - Urology 1850490814 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Rutgers New Jersey Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07875700NJMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Dec 30, 2021 Accepting new patients
St. Joseph'S Healthcare, Inc. CurrentSince Dec 15, 2021 Accepting new patients
New Jersey Urology LLC Urology CurrentSince Jan 1, 2010 Accepting new patients
Summit Medical Group PA CurrentSince Dec 30, 2021 Accepting new patients
Summit Medical Group, Inc Past Accepting new patients

Locations

36 Newark Ave
Ste 200
Belleville, NJ 07109
Phone (973) 759-6180

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

1255 Broad St
Clifton, NJ 07013
Phone (973) 471-0981

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

255 W Spring Valley Ave
Ste 101
Maywood, NJ 07607
Phone (201) 487-8866

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

1225 McBride Ave
Woodland Park, NJ 07424
Phone (908) 277-8699

Interoperability endpoints

  • Direct secure messaging: glovallo@nj-urology.gwaydirect.com
  • Direct secure messaging: glovallo9981@njurology.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1467515775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W SPRING VALLEY AVE",
            "address_2": "SUITE 101",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071445",
            "telephone_number": "201-487-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVALLO",
        "first_name": "GREGORY",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA07875700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "glovallo9981@njurology.direct-ci.com",
            "affiliation": "N",
            "address_1": "255 W Spring Valley Ave",
            "address_2": "SUITE 101",
            "city": "Maywood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076071445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maywood, NJ

Sources for this page

Verify at the official NPI Registry.