Individual provider Active NPI

Joanne Galasso

  • Nurse Practitioner
  • Marlton, NJ
National Provider Identifier
1932505211
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00532600 Issued in NJ
Practice address
301 Lippincott Dr
Suite 410
Marlton, NJ 08053-4197
Phone
(856) 206-4508
NPI assigned
Nov 13, 2014
Last updated
Nov 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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 26NJ00532600 NJ Primary

Addresses

Primary practice location

301 Lippincott Dr
Suite 410
Marlton, NJ 08053-4197

Mailing address

301 Lippincott Dr
Suie410
Marlton, NJ 08053-4197
Phone (856) 206-4508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150217000669 NJ Practitioner - Nurse Practitioner 7810212750 Reassigns benefits to 3 organizations
I20200323000091 PA Practitioner - Nurse Practitioner 7810212750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kensington HospitalGroup PAC ID 6305831165, 3 clinicians

Practice addresses (Care Compare)

136 Diamond St
Philadelphia, PA 19122-1721
Phone 21542681006502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00532600NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jan 1, 2015 Accepting new patients
Kensington Hospital- Cambria Clinic CurrentSince Dec 13, 2019 Accepting new patients
Advocare, LLC CurrentSince Mar 1, 2015 Accepting new patients
Virtua Medical Group, PA Nurse Practitioner CurrentSince Jan 1, 2015 Accepting new patients
Kensington Hospital CurrentSince Dec 13, 2019 Accepting new patients
Kensington Hospital Current Accepting new patients
Advocare , LLC CurrentSince Mar 1, 2015 Accepting new patients
Kensington Hospital Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

136 Diamond St
Philadelphia, PA 19122
Phone (215) 426-8100

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.

NPI Registry JSON

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1932505211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR",
            "address_2": "SUIE410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-206-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR",
            "address_2": "SUITE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-206-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALASSO",
        "first_name": "JOANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00532600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.