John G Gallucci, MD

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

MA56866 Issued in NJ

Practice address

254 Easton Ave
New Brunswick, NJ 08901-1766

Phone

(732) 565-5482

Fax

(732) 249-5284

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.gallucci.2@8568.direct.athenahealth.com
• Direct secure messaging: john.gallucci.1@8568.direct.athenahealth.com
• Direct secure messaging: john.gallucci.3@8568.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4

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.

• Saint Peter'S Healthcare System Physician Associates

  • General Practice Physician
  • New Brunswick, NJ
  • NPI 1548569361
  Medicare reassignment NPD
• Saint Peter'S Specialty Physicians, P.C.

  • Gastroenterology Physician
  • Lakewood, NJ
  • NPI 1861894982
  Medicare reassignment NPD
• Saint Peter'S University Hospital

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1114924834
  Medicare reassignment NPD
• Saint Peter'S University Hospital

  • Clinical Psychologist
  • New Brunswick, NJ
  • NPI 1376079590
  NPD
• Practice Associates,Inc

  • Physician Assistant
  • Morristown, NJ
  • NPI 1699733907
  NPD (past)
• Specialty Care of Practice Associates,PA

  • Specialist
  • Morristown, NJ
  • NPI 1215985908
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1245295153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-565-5482",
            "fax_number": "732-249-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-565-5482",
            "fax_number": "732-249-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLUCCI",
        "first_name": "JOHN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NJ",
            "license": "MA56866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7685904",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aliza Galitsky
• Shery Galkin
• Dariusz Galkowski, M.D.
• Alyssa Marie Gallant, DO
• Danielle Marie Gallo
• Gianna Marie Gambino
• Bhakti Gandhi
• Melissa Gandhi, MS
• Shridarr Ganesan
• Vanessa Gang

• Pediatric Surgery Physician in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Pediatric Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.