Individual provider Active NPI

Christine Galante, NP

  • Adult Health Nurse Practitioner
  • Freeport, NY
National Provider Identifier
1164428504
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F303616 Issued in NY
Practice address
114 Church St
Freeport, NY 11520-3833
Phone
(516) 868-3030
NPI assigned
Jun 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F405906 NY
Adult Health Nurse Practitioner 363LA2200X F303616 NY Primary

Addresses

Primary practice location

114 Church St
Freeport, NY 11520-3833

Mailing address

114 Church St
Freeport, NY 11520-3833
Phone (516) 868-3030

Other identifiers 1

IdentifierTypeStateIssuer
02639430MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420000154 NY Practitioner - Nurse Practitioner 1850386699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 W Main St
East Islip, NY 11730-2337
Phone 6316661615110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
303616NYMDAnesthesiology Physician
F303616NYMDAdult Health Nurse Practitioner
F405906NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Child Association Incorporated CurrentSince Mar 10, 2024 Accepting new patients
Christine M Galante Nurse Practitioner in Psychiatry, PLLC Psychiatric/Mental Health CurrentSince Jan 4, 2025 Accepting new patients
South Shore Child Association Incorporated CurrentSince Jan 28, 2024 Accepting new patients

Locations

107 W Main St
East Islip, NY 11730
Phone (631) 666-1615

114 Church St
Freeport, NY 11520
Phone (516) 868-3030

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1164428504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CHURCH ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203833",
            "telephone_number": "516-868-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CHURCH ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203833",
            "telephone_number": "516-868-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALANTE",
        "first_name": "CHRISTINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405906",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02639430",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

Verify at the official NPI Registry.