Individual provider Active NPI

Keri Gallagher

  • Nurse Practitioner
  • New York, NY
National Provider Identifier
1912720053
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
311503 Issued in NY
Practice address
520 E 70TH St
New York, NY 10021-9800
Phone
(212) 746-6000
NPI assigned
Nov 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 311503 NY Primary

Addresses

Primary practice location

520 E 70TH St
New York, NY 10021-9800

Mailing address

3603 20TH Rd
Astoria, NY 11105-1623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251210000299 NY Practitioner - Nurse Practitioner 3577057306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

520 E 70TH St
New York, NY 10021-9800
Phone (212) 746-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
311503NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Cornell Medical Imaging CurrentSince Oct 2, 2025 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 2, 2025 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 2, 2025 Accepting new patients
Weill Cornell Imaging at Nyp CurrentSince Oct 2, 2025 Accepting new patients
Weill Cornell Imaging at New York Presbyterian Current Accepting new patients
Cornell University Medical College Past Accepting new patients
Weill Cornell University Medical College Past Accepting new patients

Locations

2825 Jackson Ave
Fl 2
Long Island City, NY 11101
Phone (646) 962-4170

516 E 72nd St
New York, NY 10021
Phone (212) 746-2971

1305 York Ave
Fl 3
New York, NY 10021
Phone (201) 983-1255

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

416 E 55th St
New York, NY 10022
Phone (212) 752-4511

525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059

2315 Broadway
Frnt 4
New York, NY 10024
Phone (646) 962-9178

53 Beekman St
Lowr
New York, NY 10038

425 E 61st St
Fl 9
New York, NY 10065
Phone (646) 962-9169

170 William St
Fl 1
New York, NY 10038
Phone (212) 312-5163

53 Beekman St
Fl 1
New York, NY 10038

520 E 70th St
New York, NY 10021
Phone (212) 746-0838

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1912720053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 20TH RD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 70TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100219800",
            "telephone_number": "212-746-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "KERI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "311503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.