Theresa E. Galla, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

25MP00175700 Issued in NJ

Practice address

350 Engle St
Dept. of Cardiothoracic Surgery
Englewood, NJ 07631-1808

Phone

(201) 894-3636

NPI assigned

Jun 4, 2008

Last updated

Jun 4, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: tgalla236577@direct.englewoodhealth.org

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1669631750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 ENGLE ST",
            "address_2": "DEPT. OF CARDIOTHORACIC SURGERY",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311808",
            "telephone_number": "201-894-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ENGLE ST",
            "address_2": "DEPT. OF CARDIOTHORACIC SURGERY",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311808",
            "telephone_number": "201-894-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLA",
        "first_name": "THERESA",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00175700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chana Gable-Selmon, MD
• Gail M Blumenthal OD PA
• Richard Gaimo, BA
• Kenyon Gale, MD
• Jan David Galla, MD
• Samantha Shanice Gallimore, M.D.
• Paul Michael Gallina Jr., MD
• Frank John Galtieri, DDS
• Yelena Galumyan, MD
• Adriana Gambino, AGPCNP-BC

• Surgical Physician Assistant in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Surgical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.