Active NPI
Mary Gealow, M.D.
- Pediatrics Physician
- Lowell, MA
National Provider Identifier
1679536379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 156265
- Practice address
- 33 Bartlett St
305
Lowell, MA 01852-1334 - Phone
- (978) 452-2200
- NPI assigned
- Apr 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 156265 | MA | Primary |
Addresses
Primary practice location
33 Bartlett St
305
Lowell, MA 01852-1334
Mailing address
2 Stoneybrook Cir
Andover, MA 01810-6408
Phone (978) 689-4644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156265 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GL Pediatrics Inc | Pediatrics | Current | Accepting new patients |
Locations
33 Bartlett St
#305
Lowell, MA 01852
Phone (978) 452-2200
33 Bartlett St
Ste 305
Lowell, MA 01852
Phone (978) 452-2200
506 Groton Rd
Westford, MA 01886
Phone (978) 399-0061
Interoperability endpoints
- mgealow7302@direct.chppoc.masshiway.net
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.
-
- Pediatrics Physician
- Lowell, MA
- NPI 1003988346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245888000000",
"number": "1679536379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 STONEYBROOK CIR",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018106408",
"telephone_number": "978-689-4644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 BARTLETT ST",
"address_2": "305",
"city": "LOWELL",
"state": "MA",
"postal_code": "018521334",
"telephone_number": "978-452-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEALOW",
"first_name": "MARY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2009-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "156265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.