Jennifer M Galan, APN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00887100 Issued in NJ

Practice address

303 Franklin Ave
Wyckoff, NJ 07481-2095

Phone

(201) 891-6660

NPI assigned

Feb 26, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jennifer M Hatch Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

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.

• Ridgedale Family Medical Associates PC

  • Non-Pharmacy Dispensing Site
  • East Hanover, NJ
  • NPI 1639595481
  NPD (past)
• Ridgedale Family Medical Associates, PC

  • General Practice Physician
  • East Hanover, NJ
  • NPI 1295969152
  NPD (past)

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1366909392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 FRANKLIN AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812095",
            "telephone_number": "201-891-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 FRANKLIN AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812095",
            "telephone_number": "201-891-6660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "383 Ridgedale Ave Ste 8",
            "address_purpose": "LOCATION",
            "city": "East Hanover",
            "state": "NJ",
            "postal_code": "079361400",
            "country_code": "US",
            "telephone_number": "973-887-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALAN",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00887100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HATCH",
            "middle_name": "M",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Zeynep Fresolone
• Elliot Paul Frey, DMD
• Noel Friedland, M.D.
• Christopher R Friedlander, LCSW
• Stephen Gal, M.D.,PH.D.
• Kathleen S Galasso
• David Joseph Gallina, M.D.,
• Nancy Burleigh Gallina, PHD
• Joseph J Gartner, MD
• Gary Goodmark DC PA

• Family Nurse Practitioner in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.