Marisol Gallo Jalil, DNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

309780 Issued in NY

Practice address

774 Broadway Ste 2B
Brooklyn, NY 11206-5316

Phone

(347) 335-0305

NPI assigned

Jun 14, 2021

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1619545951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 BROADWAY STE 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065316",
            "telephone_number": "347-335-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 BROADWAY STE 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065316",
            "telephone_number": "347-335-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLO JALIL",
        "first_name": "MARISOL",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert P Galligan, PH.D.
• Daneroy Gallimore
• Shelly Ann Gallimore, LPN
• Jennifer Gallis, MFT
• Mary Edcel Gallito, PT
• Alexandra Gallo
• Christopher Matthew Gallo, OTR/L
• Dawn Marie Gallo, DO
• Dianne Gallo, LMSW
• Estelle Gallo, PT

• Adult Health Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.