Jeffrey Paul Gally, M.D.,P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0054889 Issued in FL

Legal business name

JEFFREY PAUL GALLY, M.D.,P.A.

Practice address

3880 Coconut Creek Pkwy
Suite 102
Coconut Creek, FL 33066-1652

Phone

(954) 971-6188

Fax

(954) 970-4944

NPI assigned

Nov 20, 2010

Organization subpart

No

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

Authorized official

Name

Jeffrey Gally, M.D.NPI 1114084274

Title

President

Phone

(954) 971-6188

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Paul Gally, M.D.

  • Internal Medicine Physician
  • Coconut Creek, FL
  • NPI 1114084274
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1290211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290211200000",
    "number": "1497057640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 COCONUT CREEK PKWY",
            "address_2": "SUITE 102",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330661652",
            "telephone_number": "954-971-6188",
            "fax_number": "954-970-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 COCONUT CREEK PKWY",
            "address_2": "SUITE 102",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330661652",
            "telephone_number": "954-971-6188",
            "fax_number": "954-970-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY PAUL GALLY, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-20",
        "last_updated": "2010-11-20",
        "status": "A",
        "authorized_official_last_name": "GALLY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-971-6188",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0054889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Jean Baptiste
• Stephana Jean Jacques
• Taina E Jean-Pierre, FNP-C
• Jean Claude Jean, M.D.
• Verline Jean
• Jens Med LLC
• Kimberly Jewell
• Fernando Jimenez, MD
• JMS Integrated Services Inc
• Job Squad, Inc.

• Internal Medicine Physician in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.