Gregory J Gallina MD PC
Organization Active NPI Colon & Rectal Surgery Physician · Maywood, NJ
NPI 1598055824 · NPPES record last updated Apr 7, 2011
Key facts
- NPI
- 1598055824
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Colon & Rectal Surgery Physician 208C00000X
- License
- MA62495 (NJ)
- Legal business name
- GREGORY J GALLINA MD PC
- Practice address
- 255 West Spring Valley Ave.
# 103
Maywood, NJ 07607-1444 - Phone
- (201) 525-1031
- Fax
- (201) 880-4560
- NPI assigned
- Apr 7, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Gregory J Gallina, M.D.
- Title
- President
- Phone
- (201) 525-1031
Practitioners 1
-
Gregory J Gallina, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110706000194 | NJ | Part B Supplier - Clinic/Group Practice | 0840478350 |
Receives reassigned benefits from 1 practitioner Practice locations: Maywood, NJ |
National Provider Directory
Locations
255 W Spring Valley Ave
Ste 103
Maywood, NJ 07607
Phone (201) 525-1031
80 Eisenhower Dr
Ste 100
Paramus, NJ 07652
Phone (201) 336-1100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician |
208C00000X | MA62495 | NJ | Yes |
Addresses
Primary practice location
255 West Spring Valley Ave.
# 103
Maywood, NJ 07607-1444
Mailing address
255 West Spring Valley Ave.
# 103
Maywood, NJ 07607-1444
Phone (201) 525-1031
Other providers in Maywood, NJ
- George Leipsner, M.D., P.a.
- Melissa Giuliano
- Harold M Goldstein
- Martin M Goldstein
- Lauren Bautista Gramatica
- Edward Hahn Jr.
- Kamran Ismail Hamirani
- Joseph Hammond
- Hands of Hope PT PC
- Daniel Hanna
All providers in Maywood, NJ · Colon & Rectal Surgery Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.