Healthcare Provider Details

I. General information

NPI: 1992063572
Provider Name (Legal Business Name): JOSEPH PETER GALANTE APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2012
Last Update Date: 03/01/2023
Certification Date: 03/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1044 LACEY RD
FORKED RIVER NJ
08731-1051
US

IV. Provider business mailing address

240 BENNETT AVE
STATEN ISLAND NY
10312-4056
US

V. Phone/Fax

Practice location:
  • Phone: 609-693-0819
  • Fax:
Mailing address:
  • Phone: 917-583-3541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number654242-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ01449300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: