Individual provider Active NPI

Michael Gary Link, MD

  • Clinical Cardiac Electrophysiology Physician
  • Galloway, NJ
National Provider Identifier
1477617710
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
25MA11027200 Issued in NJ
Practice address
318 Chris Gaupp Drive
Galloway, NJ 08205
Phone
(609) 404-9900
Fax
(609) 404-3653
NPI assigned
Dec 21, 2006
Last updated
Jun 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT186817 PA
Cardiovascular Disease Physician 207RC0000X MD434614 PA
Clinical Cardiac Electrophysiology Physician 207RC0001X MD434614 PA
Clinical Cardiac Electrophysiology Physician 207RC0001X 25MA11027200 NJ Primary

Addresses

Primary practice location

318 Chris Gaupp Drive
Galloway, NJ 08205

Mailing address

318 Chris Gaupp Drive
Galloway, NJ 08205-3685
Phone (609) 404-9900

Other identifiers 2

IdentifierTypeStateIssuer
102738151MedicaidPA
PO1147098OtherPARR MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mlink7333@phsdirect.pinnaclehealth.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210813002019 NJ Practitioner - Cardiac Electrophysiology 4981756103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

2500 English Creek Ave
Suite 211
Egg Harbor Township, NJ 08234-5598
Phone (609) 677-7776

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT186817PAMDInternal Medicine Physician
25MA11027200NJMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Aug 29, 2021 Accepting new patients
Atlanticare Physician Group PA Cardiovascular Disease CurrentSince Sep 5, 2024 Accepting new patients
Atlanticare Physician Group CurrentSince Aug 29, 2021 Accepting new patients
Cumberland Pathology Associates, LLC Past Accepting new patients

Locations

2500 English Creek Ave
Ste 211
Egg Harbor Twp, NJ 08234
Phone (609) 677-6000

2500 English Creek Ave
Ste 223
Egg Harbor Twp, NJ 08234
Phone (609) 407-2277

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

318 Chris Gaupp Dr
Galloway, NJ 08205
Phone (609) 404-9900

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

Organizations & group practices 4

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 2

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1477617710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 CHRIS GAUPP DRIVE",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082053685",
            "telephone_number": "609-404-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 CHRIS GAUPP DRIVE",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "08205",
            "telephone_number": "609-404-9900",
            "fax_number": "609-404-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINK",
        "first_name": "MICHAEL",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT186817",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD434614",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PA",
            "license": "MD434614",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NJ",
            "license": "25MA11027200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102738151",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "PO1147098",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlink7333@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1000 N Front St",
            "city": "Wormleysburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170431021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.