Individual provider Active NPI

Dawn Marie Gallo, DO

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1750360368
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
215715 Issued in NY
Practice address
2352 Ralph Ave
Brooklyn, NY 11234-5515
Phone
(718) 251-0200
Fax
(718) 209-5697
NPI assigned
Jan 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 215715 NY Primary

Addresses

Primary practice location

2352 Ralph Ave
Brooklyn, NY 11234-5515

Mailing address

2352 Ralph Ave
Brooklyn, NY 11234-5515
Phone (718) 251-0200

Other identifiers 1

IdentifierTypeStateIssuer
02080179MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080616000218 NY Practitioner - Family PracticePractitioner - Internal Medicine 0547331712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

433 77TH St
Brooklyn, NY 11209-3205
Phone (718) 238-1155

Hospital & facility affiliations

  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as apm
Quality
79.86
Promoting interoperability
88.89
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Cardiology FPP Past Accepting new patients
United Medical Associates,PLLC Past Accepting new patients
Jeremiah M Gelles, MD PC Past Accepting new patients

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1750360368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2352 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345515",
            "telephone_number": "718-251-0200",
            "fax_number": "718-209-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2352 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345515",
            "telephone_number": "718-251-0200",
            "fax_number": "718-209-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLO",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "215715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02080179",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.