Individual provider Active NPI

Gina Galiano

  • Psychologist
  • Cherry Hill, NJ
National Provider Identifier
1255743522
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00637400 Issued in NJ
Practice address
2 Split Rock Dr Ste 5
Cherry Hill, NJ 08003-1244
Phone
(833) 494-6724
NPI assigned
May 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00637400 NJ Primary

Addresses

Primary practice location

2 Split Rock Dr Ste 5
Cherry Hill, NJ 08003-1244

Mailing address

283 Dewey Ave
Totowa, NJ 07512-2506
Phone (973) 809-3709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35SI00637400NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Insite Medical NJ PA CurrentSince Jan 28, 2024 Accepting new patients

Locations

2 Split Rock Dr
Ste 5
Cherry Hill, NJ 08003
Phone (833) 494-6724

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1255743522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 DEWEY AVE",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122506",
            "telephone_number": "973-809-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SPLIT ROCK DR STE 5",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031244",
            "telephone_number": "833-494-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALIANO",
        "first_name": "GINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-21",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00637400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.