Individual provider Active NPI

Victor A. Gallo, M.D.

  • Colon & Rectal Surgery Physician
  • Garden City, NY
National Provider Identifier
1821067349
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
126186 Issued in NY
Practice address
1075 Franklin Ave
Garden City, NY 11530-2922
Phone
(516) 248-7733
Fax
(516) 248-5031
NPI assigned
Mar 16, 2006
Last updated
Jan 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 126186 NY Primary

Addresses

Primary practice location

1075 Franklin Ave
Garden City, NY 11530-2922

Mailing address

1075 Franklin Ave
Garden City, NY 11530-2922
Phone (516) 248-7733

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
I20141013000481 NY Practitioner - Colorectal Surgery (Proctology) 6507998309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden City Colon and Rectal Surgical Practice PCGroup PAC ID 1153451935, 3 clinicians

Practice addresses (Care Compare)

1075 Franklin Ave
Garden City, NY 11530-2930
Phone (516) 248-7733

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy385
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Garden City Colon & Rectal Surgical Practice, P.C. Colon & Rectal Surgery CurrentSince Jan 14, 1982 Accepting new patients

Locations

1075 Franklin Ave
Garden City, NY 11530
Phone (516) 248-7733

1075 Franklin Ave
#B
Garden City, NY 11530
Phone (516) 248-1234

Interoperability endpoints

  • Direct secure messaging: vgallo307973@nyumc.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Nassau University Medical CenterEast Meadow, NY, CCN 330027001 Hospital Corporate Director Jun 8, 2012
Nassau University Medical CtrEast Meadow, NY, CCN 33T027001 Hospital Corporate Director Jun 8, 2012
A. Holly Patterson Extended Care FacilityUniondale, NY, CCN 335023 Skilled nursing facility Corporate Director (6.7%) Jun 1, 2015

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1821067349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 FRANKLIN AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302922",
            "telephone_number": "516-248-7733",
            "fax_number": "516-248-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 FRANKLIN AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302922",
            "telephone_number": "516-248-7733",
            "fax_number": "516-248-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLO",
        "first_name": "VICTOR",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "126186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.