Jennifer Lynn Gallo

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2803301 Issued in NY

Practice address

36 Morning Dr
Centereach, NY 11720-2317

Phone

(631) 588-5111

NPI assigned

Jan 22, 2008

Last updated

Jan 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Lynn Johnstone Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1811174733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MORNING DR",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117202317",
            "telephone_number": "631-588-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MORNING DR",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117202317",
            "telephone_number": "631-588-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLO",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2803301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JOHNSTONE",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paige Fox
• Lindsey Freking, PMHNP, RN
• Thomas Fusco
• Amy Galgano, NURSE PRACTITIONER
• Jennifer Gallo, MA, CCC/SLP
• Allison Gandiosi, MS SPECIAL EDUCATION
• Jerlin George, R.N.
• Christine A Gerdvil
• Thomas Aidan Gerrity, PTA
• Janet A Gibbons

• Licensed Practical Nurse in Centereach, NY
• Providers in Centereach, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.