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. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F333787-1NYMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02428926MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 24, 2011.

{
    "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

All providers in Slingerlands, NY · Family Nurse Practitioner in New York

Sources for this page

Verify at the official NPI Registry.