Individual provider Active NPI

Heather Galonzka, N.P.

  • Gerontology Nurse Practitioner
  • Marlborough, MA
National Provider Identifier
1245602457
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN2281909 Issued in MA
Practice address
201 Boston Post Rd W Ste 200&202
Marlborough, MA 01752-4667
Phone
(508) 460-9613
Fax
(978) 371-0522
NPI assigned
Oct 27, 2015
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2281909 MA
Gerontology Nurse Practitioner 363LG0600X RN2281909 MA Primary

Addresses

Primary practice location

201 Boston Post Rd W Ste 200&202
Marlborough, MA 01752-4667

Mailing address

526 Main St Ste 302
Acton, MA 01720-3310
Phone (978) 371-7010

Other practice location 1

281 Lincoln St
Worcester, MA 01605-2138
Phone (508) 334-5979

Other identifiers 1

IdentifierTypeStateIssuer
110158947AMedicaidMA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hgalonzka305411@UmassMemorial.direct-ci.com
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20190701001314 MA Practitioner - Nurse Practitioner 0446584155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leominster Dermatology LLPGroup PAC ID 7416251483, 14 clinicians

Practice addresses (Care Compare)

100 Hospital Rd
Suite 2D
Leominster, MA 01453-2253
Phone (978) 534-0582

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Leominster Dermatology LLP Dermatology CurrentSince Aug 1, 2024 Accepting new patients
Skin Dermatology Company Dermatology CurrentSince Aug 30, 2021 Accepting new patients
Adult & Pediatric Dermatology, P.C. Dermatology CurrentSince Aug 26, 2026 Accepting new patients

Locations

308 W Broadway
Gardner, MA 01440

1 Cabot Rd
Ste 140
Hudson, MA 01749
Phone (978) 534-0582

100 Hospital Rd
Ste 2D
Leominster, MA 01453
Phone (978) 534-0582

201 Boston Post Rd W
Ste 200
Marlborough, MA 01752
Phone (508) 460-9613

201 Boston Post Rd W
Ste 200202
Marlborough, MA 01752
Phone (508) 460-9613

555 Main St
Ste 1
Shrewsbury, MA 01545
Phone (508) 644-0505

Interoperability endpoints

  • Direct secure messaging: hgalonzka305411@umassmemorial.direct-ci.com

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": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1245602457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 MAIN ST STE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203310",
            "telephone_number": "978-371-7010",
            "fax_number": "978-371-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BOSTON POST RD W STE 200&202",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017524667",
            "telephone_number": "508-460-9613",
            "fax_number": "978-371-0522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052138",
            "country_code": "US",
            "telephone_number": "508-334-5979",
            "fax_number": "508-334-6466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALONZKA",
        "first_name": "HEATHER",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2281909",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN2281909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110158947A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hgalonzka305411@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "281 Lincoln St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016052138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "281 Lincoln St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016052138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.