Individual provider Active NPI

Joseph Anthony Gullo II, M.S.S.

  • Audiologist
  • Dunkirk, NY
National Provider Identifier
1760579775
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1458 Issued in NY
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01565966MedicaidNY
1458OtherNYSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101020000681 NY Practitioner - Qualified Audiologist 3375736564 Reassigns benefits to 2 organizations
Practice locations: Dunkirk, NY

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

LicenseStateTypeSpecialty
1458NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office CurrentSince Jun 1, 2019 Accepting new patients
Great Lakes Otolaryngology PC CurrentSince Sep 30, 2010 Accepting new patients
Gullo Audiology, P.C Audiologist CurrentSince Oct 12, 2025 Accepting new patients
State of New York Comptrollers Office CurrentSince Jun 1, 2019 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.

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.

Verify at the official NPI Registry.