Active NPI
Jill S Gallagher
- Gerontology Nurse Practitioner
- Boonton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 26NN09522900
- Practice address
- 223 W Main St Ste 3
Boonton, NJ 07005-1165 - Phone
- (973) 335-8656
- Fax
- (973) 335-8986
- NPI assigned
- Nov 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NN009522900 | NJ | |
| Gerontology Nurse Practitioner | 363LG0600X | 26NN09522900 | NJ | Primary |
Addresses
Primary practice location
223 W Main St Ste 3
Boonton, NJ 07005-1165
Mailing address
PO Box 95000, LB#7550
Philadelphia, PA 19195-7550
Phone (844) 362-1735
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Little Falls, NJ 07424
Phone (973) 335-8656
223 W Main St
Suite 3
Boonton, NJ 07005-1166
Phone (973) 335-8656
Hospital & facility affiliations
- Morristown Medical Center
- Saint Clare'S Hospital/ Denville Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NN009522900 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Partners, LLC | Current | Accepting new patients | |
| Practice Associates Medical Group | Current | Accepting new patients | |
| Fellowship Senior Living, Inc. | Current | Accepting new patients | |
| Primary Care Partners, LLC | Current | Accepting new patients | |
| Fellowship Village Inc. | Current | Accepting new patients | |
| Salem Medical Services LLC | Current | Accepting new patients | |
| Primary Care Partners, LLC | Nurse Practitioner | Current | Accepting new patients |
| Vital Medical Forces of Dover PC | Past | Accepting new patients | |
| Primary Care Partners LLC | Past | Accepting new patients |
Locations
8000 Fellowship Rd
Basking Ridge, NJ 07920
Phone (908) 580-3800
223 W Main St
Ste 3
Boonton, NJ 07005
Phone (973) 335-8656
223 W Main St
Boonton, NJ 07005
Phone (973) 263-2080
25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000
16 Pocono Rd
Ste 305
Denville, NJ 07834
Phone (973) 627-0484
475 South St
Morristown, NJ 07960
Phone (973) 660-3166
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130
Interoperability endpoints
- https://api.platform.athenahealth.com/19916/brand/1/csg/1/fhir/r4
- jgallagher18388@direct.ahsys.org
Organizations & group practices 9
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
- Morristown, NJ
- NPI 1083900526
Nurse Practitioner
-
- Skilled Nursing Facility
- Basking Ridge, NJ
- NPI 1659411437
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
-
- Internal Medicine Physician
- Little Falls, NJ
- NPI 1841097342
-
- Community Based Hospice Care Agency
- Basking Ridge, NJ
- NPI 1386191302
-
- Internal Medicine Physician
- Boonton, NJ
- NPI 1003196858
-
- Internal Medicine Physician
- Vernon, NJ
- NPI 1508297680
-
- Pediatrics Physician
- Sparta, NJ
- NPI 1669885711
-
- Internal Medicine Physician
- Dover, NJ
- NPI 1720007701
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
- General Acute Care Hospital
- Denville, NJ
- NPI 1598144362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1215000856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95000, LB#7550",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191957550",
"telephone_number": "844-362-1735",
"fax_number": "973-290-7495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 W MAIN ST STE 3",
"city": "BOONTON",
"state": "NJ",
"postal_code": "070051165",
"telephone_number": "973-335-8656",
"fax_number": "973-335-8986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "JILL",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NN009522900",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NN09522900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boonton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.