Active NPI
John Timothy Gallagher, M.D.
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Langhorne, PA
National Provider Identifier
1508846957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- 030244E
- Practice address
- 1205 Langhorne Newtown Rd
Suite102
Langhorne, PA 19047-1219 - Phone
- (215) 757-3635
- Fax
- (215) 757-3999
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 030244E | PA | Primary |
Addresses
Primary practice location
1205 Langhorne Newtown Rd
Suite102
Langhorne, PA 19047-1219
Mailing address
PO Box 105
Feasterville, PA 19053-0105
Phone (215) 355-1155
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 231886180 | Other | PA | HORIZON BC/BS OF NJ |
| 231886180 | Other | PA | AARP |
| 92699 | Other | PA | AETNA |
| 55219 | Other | PA | AETNA US HEALTHCARE |
| 040003589 | Other | PA | RAILROAD MEDICARE |
| 137600 | Other | PA | PREMIER BLUE |
| 597157 | Other | PA | BLUE CHOICE |
| GA137600 | Other | PA | BC/BS OF PA |
| 231886180 | Other | PA | UNITED HEALTHCARE |
| 231886180 | Other | PA | IE SHAFFER |
| GA137600 | Other | PA | AMERIHEALTH |
| 082993000 | Other | PA | KEYSTONE HEALTHPLAN EAST |
| 137600 | Other | PA | BC/BS PERSONAL CHOICE |
| 231886180 | Other | PA | GREAT WEST |
| 231886180 | Other | PA | MULTIPLAN |
| 231886180 | Other | PA | TRICARE |
| 231886180 | Other | PA | PHCS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JGALLAGHER@bucksent.medentdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Hahnemann University College of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3 Cornerstone Dr
Suite 703
Langhorne, PA 19047-1320
Phone (267) 689-1000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030244E | PA | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dominic a Culotta M.D., P.C. | Plastic Surgery Within the Head & Neck | Past | Accepting new patients |
Interoperability endpoints
- jgallagher2012887@direct.trinity-health.org
- jgallagher@bucksent.medentdirect.com
Organizations & group practices 2
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.
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Langhorne, PA
- NPI 1114912177
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Langhorne, PA
- NPI 1922171800
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bristol, PA
- NPI 1528319621
-
- General Acute Care Hospital
- Langhorne, PA
- NPI 1780686931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622764800000",
"number": "1508846957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 105",
"city": "FEASTERVILLE",
"state": "PA",
"postal_code": "190530105",
"telephone_number": "215-355-1155",
"fax_number": "215-355-7345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 LANGHORNE NEWTOWN RD",
"address_2": "SUITE102",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471219",
"telephone_number": "215-757-3635",
"fax_number": "215-757-3999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "JOHN",
"middle_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "PA",
"license": "030244E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON BC/BS OF NJ",
"identifier": "231886180",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AARP",
"identifier": "231886180",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "92699",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "55219",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "040003589",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMIER BLUE",
"identifier": "137600",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "597157",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF PA",
"identifier": "GA137600",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "231886180",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IE SHAFFER",
"identifier": "231886180",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "GA137600",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTHPLAN EAST",
"identifier": "082993000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PERSONAL CHOICE",
"identifier": "137600",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "231886180",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "231886180",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "231886180",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "231886180",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JGALLAGHER@bucksent.medentdirect.com",
"affiliation": "N",
"endpointDescription": "direct address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "ccd",
"address_1": "3 Cornerstone Dr Ste 703",
"city": "Langhorne",
"state": "PA",
"country_code": "US",
"postal_code": "190471320",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Langhorne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.