Jennifer A Gallas, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00190400 Issued in NJ

Practice address

199 New Rd.
Central Square Suite 62-63
Linwood, NJ 08221

Phone

(609) 926-3331

Fax

(609) 926-3350

NPI assigned

Nov 28, 2007

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

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medical One Acec IncGroup PAC ID 2264494954, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Medical One Acec Inc.

  • Internal Medicine Physician
  • Brigantine, NJ
  • NPI 1356492169
  Medicare reassignment Care Compare group
• Community Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bridgeton, NJ
  • NPI 1700816816
  Medicare reassignment NPD
• Advanced Care OB GYN LLC

  • Gynecology Physician
  • Absecon, NJ
  • NPI 1386824456
  Medicare reassignment
• Community Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Williamstown, NJ
  • NPI 1194568303
  NPD
• Pain Care, P.C.

  • Pain Medicine (Anesthesiology) Physician
  • Linwood, NJ
  • NPI 1346276060
  NPD (past)

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1689856916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 NEW RD.",
            "address_2": "CENTRAL SQUARE SUITE 62-63",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "08221",
            "telephone_number": "609-926-3331",
            "fax_number": "609-926-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 NEW RD.",
            "address_2": "CENTRAL SQUARE SUITE 62-63",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "08221",
            "telephone_number": "609-926-3331",
            "fax_number": "609-926-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAS",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00190400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer M Fresh, DC
• John P Fresh, D.C.
• Freund Brothers
• William H. Freund
• Frontline Behavioral Health, LLC
• Jolene Renee Ganiel, NP-C
• Judith Lynn Genova, APN, C
• Gina M Peccia, Ma, LPC LLC
• Kim P Glassey, PTA
• God and Fresh, LLC

• Medical Physician Assistant in Linwood, NJ
• Providers in Linwood, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.

Verify at the official NPI Registry.