JOSEPH BRUCE GALLAGHER DO
NPI 1245793959
Pediatrics in Newark, NJ
About Joseph Bruce Gallagher Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSEPH BRUCE GALLAGHER DO (NPI 1245793959) is an individual pediatrics provider in Newark, New Jersey, licensed in New Jersey (25MB11550500) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hartford, and is a graduate of University Of New England, College Of Osteo Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Joseph Bruce Gallagher Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Joseph Gallagher reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Livingston, NJ 07039
- Reassigned Medicare billing, New Jersey enrollment
- 1,913 clinicians in this Medicare group
New Brunswick, NJ 08901
- Reassigned Medicare billing, New Jersey enrollment
- 492 clinicians in this Medicare group
Somerset, NJ 08873
- Reassigned Medicare billing, New Jersey enrollment
- 1,557 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, NJ 07112
NEWARK, NJ 07112
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Joseph Gallagher's NPI number?
The NPI number for Joseph Gallagher is 1245793959. It was assigned to this individual provider in the NPPES registry on April 9, 2019.
Where is Joseph Gallagher located?
Joseph Gallagher practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 926-7000.
What is Joseph Gallagher's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Joseph Gallagher enrolled in Medicare?
Yes. Joseph Gallagher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Joseph Gallagher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Gallagher reassigns Medicare benefits to 3 organizations: Rwjbh Observation Associates LLC (Livingston, NJ), Rutgers Health-Rwj Pediatric Critical Care (New Brunswick, NJ) and Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joseph Gallagher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Joseph Gallagher accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Joseph Gallagher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Joseph Gallagher was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Joseph Bruce Gallagher, DO · NPI 1245793959
Pediatrics physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since April 9, 2019.
## Identity
- **NPI:** 1245793959 (Entity type: Individual)
- **Enumerated:** April 9, 2019
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 25MB11550500 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 LYONS AVE, Newark, NJ 07112-2027
- **Phone:** (973) 926-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Rwjbh Observation Associates LLC (NPI 1760095806, Livingston, NJ); Rutgers Health-Rwj Pediatric Critical Care (NPI 1063420776, New Brunswick, NJ); Rwjbh Emergency Medicine Associates, LLC (NPI 1912510041, Somerset, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New England, College Of Osteo Medicine, class of 2019
## Record status
- **NPPES last updated:** May 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1245793959) · Data from the CMS NPPES public registry.