Melissa Jean Gallogly, N.P.
Individual provider Active NPI Family Nurse Practitioner · Slingerlands, NY
NPI 1841286614 · NPPES record last updated Mar 24, 2011
Key facts
- NPI
- 1841286614
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F333787-1 (NY)
- Practice address
- 1882 New Scotland Road
Slingerlands, NY 12159-0249 - Phone
- (518) 689-3588
- Fax
- (518) 689-3597
- NPI assigned
- Sep 27, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F333787-1 | NY | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F333787-1 | NY | Yes |
Addresses
Primary practice location
1882 New Scotland Road
Slingerlands, NY 12159-0249
Mailing address
P.O. Box 249
1882 New Scotland Road
Slingerlands, NY 12159-0249
Phone (518) 689-3588
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02428926 | Medicaid | NY |
NPI Registry JSON
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1841286614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 249",
"address_2": "1882 NEW SCOTLAND ROAD",
"city": "SLINGERLANDS",
"state": "NY",
"postal_code": "121590249",
"telephone_number": "518-689-3588",
"fax_number": "518-689-3597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1882 NEW SCOTLAND ROAD",
"city": "SLINGERLANDS",
"state": "NY",
"postal_code": "121590249",
"telephone_number": "518-689-3588",
"fax_number": "518-689-3597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLOGLY",
"first_name": "MELISSA",
"middle_name": "JEAN",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-27",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F333787-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02428926",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Slingerlands, NY
- Tara Ellen Fay
- Daniel D Fernandez
- Peter H Forman
- David Foyt
- Paul E Gaffuri
- Antoinette M Gamon
- Sai B Gandham
- G. Akua Gibson
- Glaucoma Consultants of the Capital Region,PLLC
- Glaucoma Practice of New York, PLLC
All providers in Slingerlands, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.