Paul M Gallina, LICENSED OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

TD2212 Issued in NJ

Practice address

1619 Palisade Ave
Fort Lee, NJ 07024-6930

Phone

(201) 947-9797

Fax

(201) 947-9790

NPI assigned

Nov 28, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gallina Vision Center,LLC.

  • Optician
  • Fort Lee, NJ
  • NPI 1528391760
  NPD (past) Authorized official

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1619244258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 PALISADE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246930",
            "telephone_number": "201-947-9797",
            "fax_number": "201-947-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 PALISADE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246930",
            "telephone_number": "201-947-9797",
            "fax_number": "201-947-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLINA",
        "first_name": "PAUL",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LICENSED OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "TD2212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Lee MD Orthopaedic Surgery PC
• Alex Fu, DO
• Raymond Fung, M.P.T.
• Marie L Gagliano, AC
• Gallina Vision Center,LLC.
• Richard Justin Gallo, MD
• Scott Davie Ganz, D.M.D.
• Youran Gao, M.D.
• Garam Holistic Inc
• Garden State Medical and Surgical Group, LLC

• Optician in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Optician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.