Active NPI
Dean Roger Gallagher, D.C.
- Chiropractor
- Leonardo, NJ
National Provider Identifier
1568437705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01298
- Practice address
- 934 Hwy 36
Leonardo, NJ 07737-1709 - Phone
- (732) 291-5656
- Fax
- (732) 291-9334
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01298 | NJ | Primary |
Addresses
Primary practice location
934 Hwy 36
Leonardo, NJ 07737-1709
Mailing address
934 Hwy 36
Leonardo, NJ 07737-1709
Phone (732) 291-5656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111027000230 | NJ | Practitioner - Chiropractic | 5496928038 | Practice locations: Leonardo, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01298 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278460800000",
"number": "1568437705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "934 HWY 36",
"city": "LEONARDO",
"state": "NJ",
"postal_code": "077371709",
"telephone_number": "732-291-5656",
"fax_number": "732-291-9334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "934 HWY 36",
"city": "LEONARDO",
"state": "NJ",
"postal_code": "077371709",
"telephone_number": "732-291-5656",
"fax_number": "732-291-9334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "DEAN",
"middle_name": "ROGER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2010-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "01298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leonardo, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.