Tracey M Ganley, APN-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00076900 Issued in NJ

Practice address

1707 Atlantic Ave
Manasquan, NJ 08736-1147

Phone

(732) 528-0760

Fax

(732) 528-4695

NPI assigned

May 19, 2006

Last updated

Jul 15, 2019By 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

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elite Pain Management, LLC

  • Pain Medicine Physician
  • Little River, SC
  • NPI 1457727752
  NPD
• Elite Pain Management, LLC

  • Pain Medicine Physician
  • Las Vegas, NV
  • NPI 1639545940
  NPD

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1780638510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 DAVIS AVE",
            "address_2": "2ND FLR-HEM/ONC",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-528-0760",
            "fax_number": "732-528-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 ATLANTIC AVE",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361147",
            "telephone_number": "732-528-0760",
            "fax_number": "732-528-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANLEY",
        "first_name": "TRACEY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00076900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leon J Galante Jr., PT
• Paul A Galante, DDS
• Cornelius Gallagher, MD
• Mary Beth L Gallimore, LCSW
• Nicole Gallipoli, LPC
• Gail Theresa Garabadian, OT
• Lindsay Garber, MS, CCC-SLP
• Lawrence Jeremy Gardner, D.D.S.
• Holly C Gaul, LCSW
• Tara Geier, RD

• Adult Health Nurse Practitioner in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.