Active NPI
Joseph Anthony Gullo II, M.S.S.
- Audiologist
- Dunkirk, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1458
- Practice address
- 860 Central Ave
Dunkirk, NY 14048-3345 - Phone
- (716) 366-1188
- Fax
- (716) 366-1701
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1458 | NY | Primary |
Addresses
Primary practice location
860 Central Ave
Dunkirk, NY 14048-3345
Mailing address
860 Central Ave
Dunkirk, NY 14048-3345
Phone (716) 366-1188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01565966 | Medicaid | NY | |
| 1458 | Other | NY | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
860 Central
Dunkirk, NY 14048-3345
Phone (716) 366-1188
860 Central Ave
Dunkirk, NY 14048-3345
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1458 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New York Comptrollers Office | Current | Accepting new patients | |
| Great Lakes Otolaryngology PC | Current | Accepting new patients | |
| Gullo Audiology, P.C | Audiologist | Current | Accepting new patients |
| State of New York Comptrollers Office | Current | Accepting new patients |
Locations
44 Holland Ave
Fl 4
Albany, NY 12208
305 Main St
Binghamton, NY 13905
Phone (607) 729-1295
860 Central Ave
Dunkirk, NY 14048
Phone (716) 366-1188
505 Foote Ave
Jamestown, NY 14701
Phone (716) 483-2285
2223 W State St
Ste 102
Olean, NY 14760
Phone (304) 314-8972
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.
-
- Otolaryngology Physician
- Olean, NY
- NPI 1588600522
-
- Developmental Disabilities Clinic/Center
- Staten Island, NY
- NPI 1750469912
-
- Audiologist
- Dunkirk, NY
- NPI 1730054693
-
- Physical Therapist
- Albany, NY
- NPI 1346710985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760579775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 CENTRAL AVE",
"city": "DUNKIRK",
"state": "NY",
"postal_code": "140483345",
"telephone_number": "716-366-1188",
"fax_number": "716-366-1701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 CENTRAL AVE",
"city": "DUNKIRK",
"state": "NY",
"postal_code": "140483345",
"telephone_number": "716-366-1188",
"fax_number": "716-366-1701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULLO",
"first_name": "JOSEPH",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "M.S.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "1458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01565966",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "1458",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dunkirk, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.