Active NPI
Jennan Gallanthen, RN
- Registered Nurse
- Haskell, NJ
National Provider Identifier
1801222302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 26NR163148000
- Practice address
- 1141 Ringwood Ave
Suite 7
Haskell, NJ 07420-1565 - Phone
- (973) 831-2880
- Fax
- (862) 248-0528
- NPI assigned
- Sep 17, 2013
- Last updated
- Sep 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NR163148000 | NJ | Primary |
Addresses
Primary practice location
1141 Ringwood Ave
Suite 7
Haskell, NJ 07420-1565
Mailing address
1141 Ringwood Ave
Suite 7
Haskell, NJ 07420-1565
Phone (973) 831-2880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR163148000 | NJ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DO Well Be Well of Haskell | Registered Nurse | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379376000000",
"number": "1801222302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 RINGWOOD AVE",
"address_2": "SUITE 7",
"city": "HASKELL",
"state": "NJ",
"postal_code": "074201565",
"telephone_number": "973-831-2880",
"fax_number": "862-248-0528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 RINGWOOD AVE",
"address_2": "SUITE 7",
"city": "HASKELL",
"state": "NJ",
"postal_code": "074201565",
"telephone_number": "973-831-2880",
"fax_number": "862-248-0528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLANTHEN",
"first_name": "JENNAN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-17",
"last_updated": "2013-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR163148000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haskell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.