Individual provider Active NPI

Denyse Gallagher

  • Family Nurse Practitioner
  • Somers Point, NJ
National Provider Identifier
1588075055
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00495900 Issued in NJ
Practice address
18 W New York Ave
Somers Point, NJ 08244-1872
Phone
(609) 365-5300
Fax
(609) 365-5302
NPI assigned
May 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00495900 NJ Primary

Addresses

Primary practice location

18 W New York Ave
Somers Point, NJ 08244-1872

Mailing address

1 E. New York Ave
4TH Floor Admin
Somers Point, NJ 08244-1872
Phone (609) 653-3265

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150612001031 NJ Practitioner - Nurse Practitioner 0941511265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shore Specialty ConsultantsGroup PAC ID 1951613652, 42 clinicians

Practice addresses (Care Compare)

18 W New York Ave
Somers Point, NJ 08244-1872
Phone (609) 365-5300

4 W Roosevelt Blvd
Marmora, NJ 08223-1441
Phone (609) 814-9550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00495900NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Specialty Consultants CurrentSince Oct 1, 2018 Accepting new patients
Atlanticare Physician Group PA CurrentSince Apr 29, 2015 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Apr 29, 2015 Accepting new patients
Bayfront Urgent Care PA PastSince Dec 13, 2022 Accepting new patients

Locations

106 Court House South Dennis Rd
Ste 200
Cape May Court House, NJ 08210
Phone (609) 407-2332

2500 English Creek Ave
Ste 602
Egg Harbor Twp, NJ 08234
Phone (609) 272-6340

2500 English Creek Ave
Ste 800
Egg Hbr Twp, NJ 08234
Phone (609) 407-2277

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

4 W Roosevelt Blvd
Marmora, NJ 08223
Phone (609) 365-6202

4450 Black Horse Pike
Ste 3972
Mays Landing, NJ 08330
Phone (609) 365-6217

18 W New York Ave
Somers Point, NJ 08244
Phone (609) 365-5300

700 Shore Rd
Somers Point, NJ 08244
Phone (609) 365-6212

Interoperability endpoints

  • Direct secure messaging: denyse.gallagher.1@4024.direct.athenahealth.com

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 1

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": "1400371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1588075055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E. NEW YORK AVE",
            "address_2": "4TH FLOOR ADMIN",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441872",
            "telephone_number": "609-653-3265",
            "fax_number": "609-926-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W NEW YORK AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441872",
            "telephone_number": "609-365-5300",
            "fax_number": "609-365-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "DENYSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-18",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00495900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.