Individual provider Active NPI

Mary Galloy, AUD

  • Audiologist
  • Brooklyn, NY
National Provider Identifier
1790418531
Registry record updated Mar 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
003094 Issued in NY
Practice address
300 Cadman PLZ W Ste 1301
Brooklyn, NY 11201-3229
Phone
(718) 208-4449
Fax
(718) 208-4663
NPI assigned
Jul 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 003094 NY Primary

Addresses

Primary practice location

300 Cadman PLZ W Ste 1301
Brooklyn, NY 11201-3229

Mailing address

660 White Plains Rd. - Enta
Fourth Floor
Tarrytown, NY 10591-6802
Phone (914) 984-2552

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221007000167 NY Practitioner - Qualified Audiologist 3173909686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates LLPGroup PAC ID 0749193662, 431 clinicians

Practice addresses (Care Compare)

300 Cadman PLZ W
Suite 1301
Brooklyn, NY 11201-3229
Phone (718) 207-4449

Merit-based Incentive Payment System (MIPS)

Final score
94.45 of 100Reported as group
Quality
89.91
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003094NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC CurrentSince Aug 30, 2022 Accepting new patients
ENT and Allergy Associates LLP CurrentSince Apr 17, 2023 Accepting new patients

Locations

3119 Newtown Ave
Ste 201
Astoria, NY 11102
Phone (718) 631-8899

802 64th St
Ste 3AE
Brooklyn, NY 11220
Phone (718) 748-5225

9020 5th Ave
Ste 3
Brooklyn, NY 11209
Phone (718) 333-5120

10721 Queens Blvd
Ste 28
Forest Hills, NY 11375

1776 Broadway
New York, NY 10019
Phone (212) 399-7329

620 Columbus Ave
Ste 2
New York, NY 10024
Phone (212) 600-9411

261 5th Ave
Rm 901
New York, NY 10016
Phone (212) 679-3499

150 E 58th St
Fl 34
New York, NY 10155
Phone (212) 722-5570

150 Broadway
Rm 1015
New York, NY 10038
Phone (212) 571-0355

222 1st Ave
New York, NY 10009
Phone (646) 588-0404

18 E 48th St
Fl 2
New York, NY 10017
Phone (212) 935-8725

660 White Plains Rd
Fl 4
Tarrytown, NY 10591
Phone (914) 984-2546

660 White Plains Rd
Fl Fourth
Tarrytown, NY 10591
Phone (914) 984-2546

1086 N Broadway
Ste 220
Yonkers, NY 10701
Phone (914) 279-9500

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679702400000",
    "number": "1790418531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WHITE PLAINS RD. - ENTA",
            "address_2": "FOURTH FLOOR",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105916802",
            "telephone_number": "914-984-2552",
            "fax_number": "718-208-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CADMAN PLZ W STE 1301",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013229",
            "telephone_number": "718-208-4449",
            "fax_number": "718-208-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOY",
        "first_name": "MARY",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2023-03-25",
        "certification_date": "2023-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "003094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2023; 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.