Active NPI
Nancy Burleigh Gallina, PHD
- Ph.D. Medical Genetics
- Wyckoff, NJ
National Provider Identifier
1891894598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ph.D. Medical Genetics
- License
- SI02831
- Practice address
- 541 Cedar Hill Avenue
Wyckoff, NJ 07481 - Phone
- (201) 447-0550
- Fax
- (201) 447-5233
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ph.D. Medical Genetics | 170100000X | SI02831 | NJ | Primary |
Addresses
Primary practice location
541 Cedar Hill Avenue
Wyckoff, NJ 07481
Mailing address
541 Cedar Hill Avenue
Wyckoff, NJ 07481
Phone (201) 447-0550
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI02831 | NJ | MD | Ph.D. Medical Genetics |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891894598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 CEDAR HILL AVENUE",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "07481",
"telephone_number": "201-447-0550",
"fax_number": "201-447-5233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 CEDAR HILL AVENUE",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "07481",
"telephone_number": "201-447-0550",
"fax_number": "201-447-5233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLINA",
"first_name": "NANCY",
"middle_name": "BURLEIGH",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "170100000X",
"taxonomy_group": "",
"desc": "Medical Genetics, Ph.D. Medical Genetics",
"state": "NJ",
"license": "SI02831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyckoff, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.