Individual provider Active NPI

Salvatore J Galluzzo, DPM

  • Podiatrist
  • Clifton Park, NY
National Provider Identifier
1831200104
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N0040891 Issued in NY
Practice address
954 Route 146
Clifton Park, NY 12065-3614
Phone
(518) 383-0302
Fax
(518) 373-2298
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N0040891 NY Primary

Addresses

Primary practice location

954 Route 146
Clifton Park, NY 12065-3614

Mailing address

954 Route 146
Clifton Park, NY 12065-3614
Phone (518) 383-0302

Other identifiers 2

IdentifierTypeStateIssuer
10000728OtherCDPHP HMO
01520763MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110212000020 NY Practitioner - Podiatry 3779779616 Receives reassigned benefits from 1 practitioner
Practice locations: Clifton Park, NY
O20101110001192 NY DME Supplier - Physician - Podiatry 6103011556 Practice locations: Clifton Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

954 Route 146
Clifton Park, NY 12065-3614

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of skin lesions66
Removal of nail tissue512
Removal or shaving of skin growth217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004089NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Salvatore J Galluzzo DPM Podiatrist PastSince Oct 4, 2010 Accepting new patients
Dorothy Lacombe Adult Healthcare Nurse Practitioner PLLC Past Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1831200104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 ROUTE 146",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653614",
            "telephone_number": "518-383-0302",
            "fax_number": "518-373-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 ROUTE 146",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653614",
            "telephone_number": "518-383-0302",
            "fax_number": "518-373-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLUZZO",
        "first_name": "SALVATORE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0040891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP HMO",
            "identifier": "10000728",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01520763",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.