Organization Active NPI

Gallagher Family Chiropractic, LLC

  • Chiropractor
  • Landing, NJ
National Provider Identifier
1104960467
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009584 Issued in PA
Legal business name
GALLAGHER FAMILY CHIROPRACTIC, LLC
Practice address
143 Lakeside Blvd
Landing, NJ 07850-1123
Phone
(973) 398-1800
Fax
(973) 398-3770
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Dr. Nancy Lee Gallagher, DCNPI 1043242407
Title
Owner
Phone
(973) 398-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC009584 PA Primary

Addresses

Primary practice location

143 Lakeside Blvd
Landing, NJ 07850-1123

Mailing address

143 Lakeside Blvd
Landing, NJ 07850-1123
Phone (973) 398-1800

Other identifiers 1

IdentifierTypeStateIssuer
1019887860001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070424000259 PA Part B Supplier - Clinic/Group Practice 5597860379 Receives reassigned benefits from 1 practitioner
Practice locations: Orefield, PA
O20080311000460 NJ Part B Supplier - Clinic/Group Practice 5597860379 Receives reassigned benefits from 1 practitioner
Practice locations: Landing, NJ

National Provider Directory

National Provider Directory
Tax ID family
Gallagher Family Chiropractic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

143 Lakeside Blvd
Landing, NJ 07850
Phone (973) 398-1800

143 Lakeside Blvd
Ste 2
Landing, NJ 07850
Phone (973) 398-1800

451 Chew St
Ste 209
Allentown, PA 18102
Phone (610) 435-5336

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1104960467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 LAKESIDE BLVD",
            "city": "LANDING",
            "state": "NJ",
            "postal_code": "078501123",
            "telephone_number": "973-398-1800",
            "fax_number": "973-398-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 LAKESIDE BLVD",
            "city": "LANDING",
            "state": "NJ",
            "postal_code": "078501123",
            "telephone_number": "973-398-1800",
            "fax_number": "973-398-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLAGHER FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-398-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019887860001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Landing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.