Active NPI
Nicole Gallipoli, LPC
- Professional Counselor
- Manasquan, NJ
National Provider Identifier
1205431327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00740300
- Practice address
- 2399 NJ 34 S
Manasquan, NJ 08736 - Phone
- (732) 528-5533
- NPI assigned
- Dec 4, 2020
- Last updated
- Dec 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | 37PC00740300 | NJ | Primary |
Addresses
Primary practice location
2399 NJ 34 S
Manasquan, NJ 08736
Mailing address
1414 Oakwood Hollow LN
Toms River, NJ 08755-2200
Phone (732) 597-0937
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ngallipoli@amwwall.com | ||
| Direct Messaging Address | ngallipoli@amwwall.com | Atlantic Medicine and Wellness LLC |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00740300 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1205431327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 OAKWOOD HOLLOW LN",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087552200",
"telephone_number": "732-597-0937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2399 NJ 34 S",
"city": "MANASQUAN",
"state": "NJ",
"postal_code": "08736",
"telephone_number": "732-528-5533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLIPOLI",
"first_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-04",
"last_updated": "2020-12-04",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00740300",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ngallipoli@amwwall.com",
"affiliation": "N",
"address_1": "2399 NJ 34 S",
"address_2": "Unit A-5",
"city": "Manasquan",
"state": "NJ",
"country_code": "US",
"postal_code": "08736",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ngallipoli@amwwall.com",
"affiliation": "Y",
"affiliationName": "Atlantic Medicine and Wellness LLC",
"address_1": "2399 NJ 34 S",
"address_2": "Unit A-5",
"city": "Manasquan",
"state": "NJ",
"country_code": "US",
"postal_code": "08736",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manasquan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.