DR. GAIL BERKSON MALLOY (NPI# 1326132580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326132580 |
| Entity Type | Individual |
| Full Name | DR. GAIL BERKSON MALLOY |
| Credential | PHD RN CS |
| Practice Address |
110 Jericho Tpk Suite 102 Floral Park NY 11001-2019 |
| Mailing Address |
20 Rockaway Ave Rockville Centre NY 11570 |
| Practice Telephone | 5163522018 |
| Mailing Telephone | 5166781928 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 135733 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GHI VALUE OPTIONS | 7493846002 | 01 | |
| TRICARE CHAMPUS | Y032293 | 01 | |
| MULTIPLAN | 62415007 | 01 | |
| AETNA | 5926155 | 01 |
| Street Address |
110 JERICHO TPK SUITE 102 |
| City | FLORAL PARK |
| State | NY |
| Zip Code | 11001-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497373104 | Justin Wooley | Nurse Anesthetist, Certified Registered | 11520 Base Naval, Cadiz, ANDALUCIA 11001 | 2020-07-09 |
| 1912429374 | Runicka Singh | Counselor | 258-20 86th Ave, Floral Park, NY 11001 | 2017-07-07 |
| 1104346345 | Alliance Medical Solutions, Inc. | Spec/Tech, Health Info | 275 Jericho Tpke Ste 202, Floral Park, NY 11001 | 2017-06-20 |
| 1700311982 | Marilyn K Esthappan | Dentist | 24828 Jericho Tpke, Floral Park, NY 11001 | 2017-04-26 |
| 1457883183 | Gaukhar Omargaliyeva | Case Manager/Care Coordinator | 249-02 Jericho Turnpike, Suite 207, Floral Park, NY 11001 | 2017-03-31 |
| 1891161022 | Angela Murphy | Speech-Language Pathologist | 176 Aspen St., Floral Park, NY 11001 | 2015-08-11 |
| 1225452428 | Dennise Laboy | Social Worker | 11-43 47th Avenue, Long Island City, NY 11001 | 2014-02-07 |
| 1811250434 | Andrea Dilorenzo | Specialist | 91 Sprue Avenue, Floral Park, NY 11001 | 2012-06-19 |
| 1558632760 | Elaine Rachel Arnold | Speech-Language Pathologist | 500 Tulip Avenue, Floral Park, NY 11001 | 2012-01-19 |
| 1639446859 | Maureen Vetter Vetter-russell | Social Worker | 184 Aspen Street, Floral Park, NY 11001 | 2011-11-17 |
| Find all providers in zip 11001 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760022073 | Bohdan Hladun | Clinical Nurse Specialist | 10 Horizon Dr, Huntington, NY 11743-4411 | 2020-01-14 |
| 1801259767 | Ashley Poole | Clinical Nurse Specialist | 262 Kenwood Ave, Rochester, NY 14611-3030 | 2016-03-29 |
| 1760876817 | Kelechi Butler | Clinical Nurse Specialist | 19 Doreen Dr, Staten Island, NY 10303-2136 | 2015-03-26 |
| 1356669998 | Tara Anne Corcoran | Clinical Nurse Specialist | 1040 Main Street, Peekskill, NY 10566-2906 | 2010-05-06 |
| 1124266424 | Elaine Kazakis | Clinical Nurse Specialist | 4208 Medical Center Dr, Fayetteville, NY 13066-6642 | 2009-01-26 |
| 1386845980 | Carol Ann Joyce | Clinical Nurse Specialist | 21 West 86th St, Suite 308, New York, NY 10024 | 2007-05-30 |
| 1841337714 | Susan R. Cohen | Clinical Nurse Specialist | 110 South Franklin Ave, Lynbrook, NY 11563 | 2007-01-31 |
| 1932272309 | Christine Coolidge Rn Cs Phd PC | Clinical Nurse Specialist | 186 W Montauk Hwy D 1, Hampton Bays, NY 11946 | 2006-11-15 |
| 1629156625 | Florence Williams | Clinical Nurse Specialist | 85 Fifth Ave, 938, New York City, NY 10003-3019 | 2006-11-01 |
| 1114035516 | Jacqueline Diane Lilly | Clinical Nurse Specialist | 102 West Utica Street, Oswego, NY 13126 | 2006-08-26 |
| Find all providers with the same taxonomy | ||||
| City | FLORAL PARK |
| Zip Code | 11001 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.