Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jill S Gallagher

Individual provider Nurse Practitioner · NPI 1215000856

Jill S Gallagher is a Nurse Practitioner in Boonton, New Jersey. Qualified in 1996, 30 years ago. Accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
30
Licensed in
NJ
In the registry since
2006
Specialties on file
2

Practice location Address checks out

223 W Main St Ste 3
Boonton, NJ 07005-1165
Phone: (973) 335-8656
Fax: (973) 335-8986
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 26NN09522900 (NJ)
Nurse Practitioner Taxonomy 363L00000X · Licence 26NN009522900 (NJ)

Record details

NPI number1215000856
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESMay 13, 2024
Certification dateMay 13, 2024
Mailing addressPo Box 95000, Lb#7550, Philadelphia, PA 19195-7550

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare