Individual provider Active NPI

Sharon A Galvin, M.D.

  • Dermatology Physician
  • Glen Rock, NJ
National Provider Identifier
1962461400
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MA54319 Issued in NJ
Practice address
348 S Maple Ave
Glen Rock, NJ 07452-1542
Phone
(201) 652-6060
Fax
(201) 652-1882
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MA54319 NJ Primary

Addresses

Primary practice location

348 S Maple Ave
Glen Rock, NJ 07452-1542

Mailing address

348 S Maple Ave
Glen Rock, NJ 07452-1542
Phone (201) 652-6060

Other identifiers 1

IdentifierTypeStateIssuer
5072506MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050404000751 NJ Practitioner - Dermatology 0840247607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 1985
Medicare assignment
May accept Medicare assignment
Group practices
Dermatology Associates of Glen Rock PAGroup PAC ID 2668429499, 2 clinicians

Practice addresses (Care Compare)

348 S Maple Ave
Glen Rock, NJ 07452-1542
Phone (201) 652-6060

Merit-based Incentive Payment System (MIPS)

Final score
94.17 of 100Reported as group
Quality
88.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions791
Skin biopsy942

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA54319NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Glen Rock, P.a. Dermatology CurrentSince Feb 16, 2005 Accepting new patients

Locations

348 S Maple Ave
Glen Rock, NJ 07452
Phone (201) 352-6060

Organizations & group practices 1

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1962461400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 S MAPLE AVE",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521542",
            "telephone_number": "201-652-6060",
            "fax_number": "201-652-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 S MAPLE AVE",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521542",
            "telephone_number": "201-652-6060",
            "fax_number": "201-652-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVIN",
        "first_name": "SHARON",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA54319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5072506",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Rock, NJ

Sources for this page

Verify at the official NPI Registry.