Individual provider Active NPI

Jessica Fischetti-Galvin, D.O.

  • Obstetrics & Gynecology Physician
  • Manalapan, NJ
National Provider Identifier
1700177854
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MB09139800 Issued in NJ
Practice address
831 Tennent Rd
Manalapan, NJ 07726-8288
Phone
(732) 972-4200
NPI assigned
Apr 25, 2011
Last updated
Mar 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MB09139800 NJ Primary

Addresses

Primary practice location

831 Tennent Rd
Manalapan, NJ 07726-8288

Mailing address

831 Tennent Rd
Manalapan, NJ 07726-8288
Phone (732) 972-4200

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150810002003 NJ Practitioner - Obstetrics/Gynecology 3476868175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians

Practice addresses (Care Compare)

200 White Rd
105 Shore Area OB GYN
Little Silver, NJ 07739-1160
Phone (732) 741-3331

302 Candlewood Commons
Alan Cohen MD
Howell, NJ 07731-2170
Phone (732) 905-8111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB09139800NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Associates, LLC Obstetrics & Gynecology CurrentSince May 28, 2018 Accepting new patients

Locations

302 Candlewood Cmns
Howell, NJ 07731
Phone (732) 905-8111

530 Morris Ave
Ste 1
Springfield, NJ 07081

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jessica.fischetti-galvin.1@27010.direct.athenahealth.com
  • Direct secure messaging: jessica.fishcetti-galvin.1@2780.direct.athenahealth.com

Organizations & group practices 1

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": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1700177854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 TENNENT RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268288",
            "telephone_number": "732-972-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 TENNENT RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268288",
            "telephone_number": "732-972-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHETTI-GALVIN",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB09139800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.