Active NPI
Melissa Gallagher, PA-C
- Physician Assistant
- Bayonne, NJ
National Provider Identifier
1083986103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00265600
- Practice address
- 19 E 27TH St
Bayonne, NJ 07002-4608 - Phone
- (201) 436-0033
- NPI assigned
- Feb 6, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00265600 | NJ | Primary |
Addresses
Primary practice location
19 E 27TH St
Bayonne, NJ 07002-4608
Mailing address
19 E 27TH St
Bayonne, NJ 07002-4608
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328486400000",
"number": "1083986103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 E 27TH ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070024608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 E 27TH ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070024608",
"telephone_number": "201-436-0033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "MELISSA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-06",
"last_updated": "2012-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00265600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.