Gregory C Mallo (NPI# 1245412295, PAC ID# 7315179983) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1245412295 |
| PAC ID by PECOS | 7315179983 |
| Professional Enrollment ID | I20150831000103 |
| Full Name | Gregory C Mallo |
| Organization Legal Name | NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC |
| Address |
686 County Route 39a Southampton NY 11968-5703 |
| Phone Number | 6312830355 |
| Gender | M |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 2005 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 7012194806 |
| Number of Group Practice Members | 105 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330246 | ST CHARLES HOSPITAL |
| 330185 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
| Address | Phone | Organization |
|---|---|---|
| 686 County Route, 39a, Southampton, NY 11968-5703 | 6312830355 | NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC |
| Organization Legal Name | NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC |
| Physicians | 94 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas John Denapoli | Physician Assistant | North Shore-lij Cardiovascular Medicine PC | 1728 Sunrise Hwy, Merrick, NY 11566-3745 |
| Scott J Koenig | Orthopedic Surgery | North Shore-lij Cardiovascular Medicine PC | 123 Maple Ave, Cedarhurst, NY 11516-2240 |
| Jill Byrnes | Physical Therapy | North Shore-lij Cardiovascular Medicine PC | 660 Broadway, Massapequa, NY 11758-2391 |
| Jared A Kipnis | Physical Therapy | North Shore-lij Cardiovascular Medicine PC | 1101 Stewart Ave, Suite 100, Garden City, NY 11530-4833 |
| Neal Smith | Orthopedic Surgery | North Shore-lij Cardiovascular Medicine PC | 45 Crossways Park Dr W, Woodbury, NY 11797-2002 |
| Charles J Ferrer | Physician Assistant | North Shore-lij Cardiovascular Medicine PC | 36 Lincoln Ave, Rockville Centre, NY 11570-5768 |
| Tara Congimi | Occupational Therapy | North Shore-lij Cardiovascular Medicine PC | 444 Merrick Rd, Lynbrook, NY 11563-2460 |
| David I Zaret | Orthopedic Surgery | North Shore-lij Cardiovascular Medicine PC | 3480 Veterans Memorial Hwy, Bohemia, NY 11716-1068 |
| Philip Lloyd Schrank | Orthopedic Surgery | North Shore-lij Cardiovascular Medicine PC | 1101 Stewart Ave, Suite 100, Garden City, NY 11530-4833 |
| Kenneth Nissen | Nurse Practitioner | North Shore-lij Cardiovascular Medicine PC | 900 Franklin Ave, Valley Stream, NY 11580-2145 |
| Street Address |
686 COUNTY ROUTE 39A |
| City | SOUTHAMPTON |
| State | NY |
| Zip | 11968-5703 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alex Rothfeld | Sports Medicine | North Shore-lij Cardiovascular Medicine PC | 686 County Route, 39a, Southampton, NY 11968-5703 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard M Sklarek | Pulmonary Disease | Meeting House Lane Medical Practice PC | 325 Meeting House Lane Bldg, 1 Suite K, Southampton, NY 11968 |
| Louis R Spiegel | Nephrology | Meeting House Lane Medical Practice PC | 325 Meeting House Lane Bldg, 2 Suite 301, Southampton, NY 11968 |
| James E F Giugliano | Family Medicine | 290 N Sea Rd, Southampton, NY 11968-2034 | |
| Eugene Parker | Optometry | 270 N Sea Rd, Southampton, NY 11968-2034 | |
| Matthew P Mobius | Physical Therapy | 1370 Majors Path A, Southampton, NY 11968-2431 | |
| Anita S Rosenshine | Clinical Social Worker | 533 David Whites Ln, Southampton, NY 11968-2822 | |
| Mark R Kot | Emergency Medicine | 609 Hampton Rd, Southampton, NY 11968-3051 | |
| Michael S Oakley | Internal Medicine | 60 N Main St, Southampton, NY 11968-3336 | |
| Laraine D Gordon | Clinical Social Worker | 26 Henry Sreet, Southampton, NY 11968-4016 | |
| Barbara A Weitz | Clinical Social Worker | 28 Cedar Dr, Southampton, NY 11968-4227 | |
| Find all physicians in zip 11968 | |||
| City | SOUTHAMPTON |
| Zip Code | 11968 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | SOUTHAMPTON + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Gregory C Mallo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.