Active NPI
Leah Gallagher
- Family Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1093060345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP012197
- Practice address
- 1805 S Broad St
Philadelphia, PA 19148-2115 - Phone
- (215) 467-7666
- NPI assigned
- Jul 23, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP012197 | PA | Primary |
Addresses
Primary practice location
1805 S Broad St
Philadelphia, PA 19148-2115
Mailing address
84 Chews Landing Rd
Lindenwold, NJ 08021-6884
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senacare, LLC | Current | Accepting new patients | |
| Senacare, LLC | Current | Accepting new patients |
Locations
507 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (609) 455-1576
1511 Clements Bridge Rd
Woodbury, NJ 08096
Phone (856) 513-4124
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ICCBED/Endpoint/ICCBED
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Mullica Hill, NJ
- NPI 1104447127
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1023989837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343001600000",
"number": "1093060345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 CHEWS LANDING RD",
"city": "LINDENWOLD",
"state": "NJ",
"postal_code": "080216884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 S BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191482115",
"telephone_number": "215-467-7666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "LEAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-23",
"last_updated": "2012-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP012197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.