Individual provider Active NPI

Leonard Galler, M.D.

  • Surgery Physician
  • Somers Point, NJ
National Provider Identifier
1013909530
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MA40170 Issued in NJ
Practice address
718 Shore Rd
Somers Point, NJ 08244-2331
Phone
(609) 927-8550
Fax
(609) 926-0273
NPI assigned
Aug 19, 2005
Last updated
Dec 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MA40170 NJ Primary

Addresses

Primary practice location

718 Shore Rd
Somers Point, NJ 08244-2331

Mailing address

718 Shore Rd
Somers Point, NJ 08244-2331
Phone (609) 927-8550

Other identifiers 1

IdentifierTypeStateIssuer
3271200MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20101025000815 NJ Practitioner - General SurgeryPractitioner - Vascular Surgery 5597829408 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA40170NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Specialty Consultants CurrentSince Dec 1, 2018 Accepting new patients

Locations

4 W Roosevelt Blvd
Marmora, NJ 08223
Phone (609) 365-6202

718 Shore Rd
Somers Point, NJ 08244
Phone (609) 927-8550

Interoperability endpoints

  • Direct secure messaging: galler@gfhd.gwaydirect.com
  • Direct secure messaging: leonard.galler.1@4024.direct.athenahealth.com

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1013909530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 SHORE RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442331",
            "telephone_number": "609-927-8550",
            "fax_number": "609-926-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 SHORE RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442331",
            "telephone_number": "609-927-8550",
            "fax_number": "609-926-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLER",
        "first_name": "LEONARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA40170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3271200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.