Organization Active NPI

Garden City Colon & Rectal Surgical Practice, P.C.

  • Colon & Rectal Surgery Physician
  • Garden City, NY
National Provider Identifier
1508189226
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
126186 Issued in NY
Legal business name
GARDEN CITY COLON & RECTAL SURGICAL PRACTICE, P.C.
Practice address
1075 Franklin Ave.
Garden City, NY 11530-2930
Phone
(516) 248-7733
Fax
(516) 248-5031
NPI assigned
Mar 9, 2010
Last updated
Jul 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Dr. Victor A. Gallo, M.D.NPI 1821067349
Title
President
Phone
(516) 248-7733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X 126186 NY Primary

Addresses

Primary practice location

1075 Franklin Ave.
Garden City, NY 11530-2930

Mailing address

1075 Franklin Ave.
Garden City, NY 11530-2930
Phone (516) 248-7733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100605000215 NY Part B Supplier - Clinic/Group Practice 1153451935 Receives reassigned benefits from 6 practitioners
Practice locations: Garden City, NY; Mineola, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0869002Garden City Colon & Rectal Surgical Practice, PC1075 Franklin Avenue, Garden City, NY 11530ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

1075 Franklin Ave
Garden City, NY 11530
Phone (516) 248-7733

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1508189226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 FRANKLIN AVE.",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302930",
            "telephone_number": "516-248-7733",
            "fax_number": "516-248-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 FRANKLIN AVE.",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302930",
            "telephone_number": "516-248-7733",
            "fax_number": "516-248-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN CITY COLON & RECTAL SURGICAL PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "GALLO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-248-7733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "126186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.