Active NPI
Jeffrey M Galler, DDS
- Dentist
- Brooklyn, NY
National Provider Identifier
1871706697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 030956
- Practice address
- 2425 Kings Highway
Brooklyn, NY 11229-1670 - Phone
- (718) 253-6605
- Fax
- (718) 253-5762
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 030956 | NY | Primary |
Addresses
Primary practice location
2425 Kings Highway
Brooklyn, NY 11229-1670
Mailing address
18 Copper Beech Lane
Lawrence, NY 11559
Phone (718) 253-6605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00291025 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871706697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 COPPER BEECH LANE",
"city": "LAWRENCE",
"state": "NY",
"postal_code": "11559",
"telephone_number": "718-253-6605",
"fax_number": "718-253-5762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 KINGS HIGHWAY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291670",
"telephone_number": "718-253-6605",
"fax_number": "718-253-5762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLER",
"first_name": "JEFFREY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "030956",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00291025",
"state": "NY"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.