Active NPI
John J Gullo, MD
- Medical Oncology Physician
- Brunswick, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- MD21675
- Practice address
- 329 Maine St Ste E101
Brunswick, ME 04011-3310 - Phone
- (207) 373-2266
- Fax
- (207) 910-4413
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD21675 | ME | |
| Hematology (Internal Medicine) Physician | 207RH0000X | MD21675 | ME | |
| Hematology & Oncology Physician | 207RH0003X | 137981-1 | NY | |
| Medical Oncology Physician | 207RX0202X | MD21675 | ME | Primary |
Addresses
Primary practice location
329 Maine St Ste E101
Brunswick, ME 04011-3310
Mailing address
329 Maine St Ste E101
Brunswick, ME 04011-3310
Phone (207) 373-2266
Other practice location 1
5008 Brittonfield Pkwy
Suite 700
East Syracuse, NY 13057-9248
Phone (315) 472-7504
Other practice location 2
116 Northport Ave Ste 112
Belfast, ME 04915-6096
Phone (207) 505-4163
Other practice location 3
159 Main St
Norway, ME 04268-5638
Phone (207) 743-2945
Other practice location 4
265 Western Ave Ste 2
South Portland, ME 04106-2458
Phone (207) 661-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00602671 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- State University of Ny Upstate Medical University, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mainehealth
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
329 Maine St
Brunswick, ME 04011-3310
Hospital & facility affiliations
- Chans Home Health & Hospice
- Mainehealth Maine Medical Center
- Mainehealth Mid Coast Hospital
- Lincolnhealth
- Mainehealth Stephens Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137981-1 | NY | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| St. Mary'S Regional Medical Center | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Hematology & Oncology | Current | Accepting new patients |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| St. Mary'S Regional Medical Center | Current | Accepting new patients | |
| Mainehealth | Internal Medicine | Past | Accepting new patients |
Locations
116 Northport Ave
Ste 220
Belfast, ME 04915
Phone (207) 505-4015
116 Northport Ave
Ste 112
Belfast, ME 04915
Phone (207) 505-4163
118 Northport Ave
Belfast, ME 04915
Phone (207) 338-9345
123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800
329 Maine St
#E101
Brunswick, ME 04011
Phone (207) 373-2266
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
93 Campus Ave
#I2
Lewiston, ME 04240
Phone (207) 777-4420
159 Main St
Norway, ME 04268
Phone (207) 743-2945
887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000
265 Western Ave
Ste 2
South Portland, ME 04106
Phone (207) 661-0200
584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216
Interoperability endpoints
- jgullo209428@direct.mmc.mainehealth.org
Organizations & group practices 11
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.
-
- Surgery Physician
- Portland, ME
- NPI 1285738310
-
- Critical Access Hospital
- Norway, ME
- NPI 1346299815
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Critical Access Hospital
- Belfast, ME
- NPI 1841397932
-
- General Acute Care Hospital
- Rockport, ME
- NPI 1982645305
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1447226584
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Gynecologic Oncology Physician
- Scarborough, ME
- NPI 1851605455
-
- Skilled Nursing Facility
- Lewiston, ME
- NPI 1952306524
Hospital & facility affiliations 40
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Brunswick, ME
- NPI 1407906779
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
-
- Critical Access Hospital
- Norway, ME
- NPI 1346299815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1700865243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 MAINE ST STE E101",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113310",
"telephone_number": "207-373-2266",
"fax_number": "207-910-4413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 MAINE ST STE E101",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113310",
"telephone_number": "207-373-2266",
"fax_number": "207-910-4413"
}
],
"practiceLocations": [
{
"address_1": "5008 Brittonfield Pkwy",
"address_2": "Suite 700",
"address_purpose": "LOCATION",
"city": "East Syracuse",
"state": "NY",
"postal_code": "130579248",
"country_code": "US",
"telephone_number": "315-472-7504",
"fax_number": "315-479-8639",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "116 Northport Ave Ste 112",
"address_purpose": "LOCATION",
"city": "Belfast",
"state": "ME",
"postal_code": "049156096",
"country_code": "US",
"telephone_number": "207-505-4163",
"fax_number": "207-613-2570",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "159 Main St",
"address_purpose": "LOCATION",
"city": "Norway",
"state": "ME",
"postal_code": "042685638",
"country_code": "US",
"telephone_number": "207-743-2945",
"fax_number": "207-743-2751",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "265 Western Ave Ste 2",
"address_purpose": "LOCATION",
"city": "South Portland",
"state": "ME",
"postal_code": "041062458",
"country_code": "US",
"telephone_number": "207-661-0200",
"fax_number": "207-661-0299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GULLO",
"first_name": "JOHN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "MD21675",
"primary": false
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "ME",
"license": "MD21675",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "137981-1",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "ME",
"license": "MD21675",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00602671",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.