Healthcare Provider Details

I. General information

NPI: 1760697213
Provider Name (Legal Business Name): JASON PERRY GALANTE D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MORRIS AVE STE 203
SPRINGFIELD NJ
07081-1020
US

IV. Provider business mailing address

500 MORRIS AVE STE 203
SPRINGFIELD NJ
07081-1020
US

V. Phone/Fax

Practice location:
  • Phone: 973-376-8210
  • Fax: 973-258-0415
Mailing address:
  • Phone: 973-376-8210
  • Fax: 973-258-0415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number25MD00292000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: