Organization Active NPI

Guillermo Gilberto Gallardo MD PLLC

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1508468299
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GUILLERMO GILBERTO GALLARDO MD PLLC
Practice address
2922 Avenue L
Brooklyn, NY 11210-4639
Phone
(718) 758-2020
NPI assigned
Nov 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Authorized official

Name
Guillermo G Gallardo, MD
Title
President
Phone
(718) 758-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2922 Avenue L
Brooklyn, NY 11210-4639

Mailing address

2922 Avenue L
Brooklyn, NY 11210-4639

National Provider Directory

National Provider Directory

Locations

76 E 170th St
Bronx, NY 10452
Phone (212) 879-6642

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1508468299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104639",
            "telephone_number": "718-758-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLERMO GILBERTO GALLARDO MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "GALLARDO",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-758-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.