NPIMap

Individual provider Active NPI

Joseph L Gallagher III, DO

  • Family Medicine Physician
  • Sewell, NJ
National Provider Identifier
1841229457
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB07812200 Issued in NJ
Practice address
485 Hurffville Crosskeys Rd
Sewell, NJ 08080-9369
Phone
(856) 557-5555
NPI assigned
Jul 3, 2006
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB07812200 NJ Primary

Addresses

Primary practice location

485 Hurffville Crosskeys Rd
Sewell, NJ 08080-9369

Mailing address

485 Hurffville Crosskeys Rd
Sewell, NJ 08080-9369
Phone (856) 557-5555

Other identifiers 1

IdentifierTypeStateIssuer
0106038MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060815000175 NJ Practitioner - Family Practice 8022011923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rowan University School of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

445 Hurffville Crosskeys Rd
Sewell, NJ 08080-2337
Phone (844) 542-2273

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy University Hospital, Inc CurrentSince May 1, 2006 Accepting new patients
Kennedy University Hospital, Inc. Family Medicine Current Accepting new patients
Kennedy Medical Group Practice, P.C. Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Kennedy University Hospital Inc CurrentSince May 1, 2006 Accepting new patients
Kennedy Medical Group Practice, P.C. Family Medicine CurrentSince Jun 15, 2021 Accepting new patients
Kennedy Medical Group Practice PC Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Kennedy University Hospital Inc. Past Accepting new patients
The Cooper Health System Past Accepting new patients
Kennedy Medical Group Practice P.C. Family Medicine Past Accepting new patients

Locations

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

500 Marlboro Ave
Cherry Hill, NJ 08002
Phone (856) 304-6686

100 Kings Way E
Ste A3
Sewell, NJ 08080
Phone (856) 262-1900

445 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (609) 332-3852

485 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (856) 557-5555

151 Fries Mill Rd
Ste 301
Turnersville, NJ 08012
Phone (856) 374-1881

Organizations & group practices 9

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 7

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1841229457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 HURFFVILLE CROSSKEYS RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809369",
            "telephone_number": "856-557-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 HURFFVILLE CROSSKEYS RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809369",
            "telephone_number": "856-557-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "JOSEPH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07812200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0106038",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.