Individual provider Active NPI

Marlene D Galizi, MD

  • Gastroenterology Physician
  • Hartsdale, NY
National Provider Identifier
1568436319
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
183056 Issued in NY
Practice address
141 S Central Ave
Suite 301
Hartsdale, NY 10530-2319
Phone
(914) 713-3228
Fax
(914) 713-3231
NPI assigned
Feb 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 183056 NY
Gastroenterology Physician 207RG0100X 183056 NY Primary

Addresses

Primary practice location

141 S Central Ave
Suite 301
Hartsdale, NY 10530-2319

Mailing address

141 S Central Ave
Suite 301
Hartsdale, NY 10530-2319
Phone (914) 713-3228

Other identifiers 1

IdentifierTypeStateIssuer
02039265MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070109000415 NY Practitioner - Internal MedicinePractitioner - Gastroenterology 2668472069

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Docs Physicians Affiliated With Bimc Internal Medicine Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1568436319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 S CENTRAL AVE",
            "address_2": "SUITE 301",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105302319",
            "telephone_number": "914-713-3228",
            "fax_number": "914-713-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S CENTRAL AVE",
            "address_2": "SUITE 301",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105302319",
            "telephone_number": "914-713-3228",
            "fax_number": "914-713-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALIZI",
        "first_name": "MARLENE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "183056",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "183056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02039265",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsdale, NY

Sources for this page

Verify at the official NPI Registry.