Individual provider Active NPI

Nicole Galati, NP

  • Acute Care Nurse Practitioner
  • Sewell, NJ
National Provider Identifier
1174204093
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ14885100 Issued in NJ
Practice address
239 Hurffville Crosskeys Rd Ste 450
Sewell, NJ 08080-4009
Phone
(856) 341-8390
Fax
(856) 341-8131
NPI assigned
Jul 25, 2023
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ14885100 NJ Primary

Addresses

Primary practice location

239 Hurffville Crosskeys Rd Ste 450
Sewell, NJ 08080-4009

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 341-8390

Other practice location 1

6500 Kevin Johnson Blvd
Suite 100B
Bordentown, NJ 08505
Phone (609) 444-5404

Other practice location 2

1113 Hospital Dr Ste 305
Willingboro, NJ 08046-1130
Phone (856) 375-1288

Other practice location 3

401 Young Ave Ste 165
Moorestown, NJ 08057-3131
Phone (856) 235-4656

Other practice location 4

107 Berlin Rd
Cherry Hill, NJ 08034-3526
Phone (856) 429-1800

Other practice location 5

Renaissance Square, 141 Route 70, Suite B
Marlton, NJ 08053
Phone (856) 596-9057

Other practice location 6

750 Route 73
Building 4, Suite 401
Marlton, NJ 08053
Phone (856) 375-1288

Electronic endpoints 7

TypeEndpointUseAffiliation
Direct Messaging Address ngalati278035@directvirtua.org Direct
Direct Messaging Address ngalati278035@directvirtua.org Direct
Direct Messaging Address ngalati278035@directvirtua.org Direct
Direct Messaging Address ngalati278035@directvirtua.org Direct
Direct Messaging Address ngalati278035@directvirtua.org Direct
Direct Messaging Address ngalati278035@directvirtua.org Direct
Direct Messaging Address ngalati278035@directvirtua.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230818000022 NJ Practitioner - Nurse Practitioner 9537521810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rutgers New Jersey Medical School, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

1201 New Rd
Linwood, NJ 08221-1100

141 Route 70 E
Marlton, NJ 08053-1855

239 Hurffville Crosskeys Rd
Suite 245
Sewell, NJ 08080-4006
Phone (856) 341-8300

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ14885100NJMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Current Accepting new patients
Virtua Medical Group, PA CurrentSince Jun 11, 2024 Accepting new patients
Virtua Medical Group, PA CurrentSince Jun 11, 2024 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

107 Berlin Rd
Cherry Hill, NJ 08034
Phone (856) 429-1800

141 Route 70 E
Ste B
Marlton, NJ 08053
Phone (856) 596-9057

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

750 Route 73 S
Ste 401
Marlton, NJ 08053
Phone (856) 332-0767

401 Young Ave
Ste 165
Moorestown, NJ 08057
Phone (856) 235-4656

1113 Hospital Dr
Ste 305
Willingboro, NJ 08046
Phone (609) 835-3624

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1174204093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-341-8390",
            "fax_number": "856-341-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 HURFFVILLE CROSSKEYS RD STE 450",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804009",
            "telephone_number": "856-341-8390",
            "fax_number": "856-341-8131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 Kevin Johnson Blvd",
            "address_2": "Suite 100B",
            "address_purpose": "LOCATION",
            "city": "Bordentown",
            "state": "NJ",
            "postal_code": "08505",
            "country_code": "US",
            "telephone_number": "609-444-5404",
            "fax_number": "609-444-5405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1113 Hospital Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080461130",
            "country_code": "US",
            "telephone_number": "856-375-1288",
            "fax_number": "856-375-2325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Young Ave Ste 165",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573131",
            "country_code": "US",
            "telephone_number": "856-235-4656",
            "fax_number": "856-235-4786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Berlin Rd",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080343526",
            "country_code": "US",
            "telephone_number": "856-429-1800",
            "fax_number": "856-429-1081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Renaissance Square, 141 Route 70, Suite B",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "08053",
            "country_code": "US",
            "telephone_number": "856-596-9057",
            "fax_number": "856-596-0837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Route 73",
            "address_2": "Building 4, Suite 401",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "08053",
            "country_code": "US",
            "telephone_number": "856-375-1288",
            "fax_number": "856-375-2325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALATI",
        "first_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ14885100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ngalati278035@directvirtua.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6500 Kevin Johnson Blvd",
            "address_2": "Suite 100B",
            "city": "Bordentown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ngalati278035@directvirtua.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "239 Hurffville Crosskeys Rd Ste 450",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ngalati278035@directvirtua.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "107 Berlin Rd",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080343526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ngalati278035@directvirtua.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "Renaissance Square, 141 Route 70, Suite B",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ngalati278035@directvirtua.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "750 Route 73",
            "address_2": "Building 4, Suite 401",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ngalati278035@directvirtua.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "401 Young Ave Ste 165",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080573131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ngalati278035@directvirtua.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1113 Hospital Dr Ste 305",
            "city": "Willingboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080461130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.