Jessica M Gallo, PHYSICIAN ASSISTANT
Physician Assistant, Surgical in Fair Lawn, New Jersey
1295305191- Practice location
- 17-17 Route 208, Fair Lawn, NJ 07410-2820
- Phone
- 201-345-7557
- Fax
- —
- Last updated
- January 5, 2026
Jessica M Gallo is a Physician Assistant, Surgical based in Fair Lawn, NJ. Jessica M Gallo practices in Fair Lawn, NJ and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Jessica M Gallo is 1295305191 and holds a License No. 25MP00668200 (NJ). The current practice location address for Jessica M Gallo is 17-17 Route 208, Fair Lawn, NJ 07410-2820 and can be reached out via phone at 201-345-7557.
Provider Profile Details
- NPI Number
- 1295305191
- Provider Name
- Jessica M Gallo
- Credential
- PHYSICIAN ASSISTANT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 17-17 Route 208, Fair Lawn, NJ 07410-2820
- Phone Number
- 201-345-7557
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 1, 2021
- Last Update Date
- January 5, 2026
- Certification Date
- January 5, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17-17 Route 208
Fair Lawn, NJ 07410-2820 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-2820
- Phone Number
- 201-345-7557
Provider Business Mailing Address Details
- Address
- 1 Diamond Hill RD
Berkeley Heights, NJ 07922-2104 - City
- Berkeley Heights
- State
- NJ
- Zip
- 07922-2104
License Information
- License Number
- 25MP00668200
- License State
- NJ
- Taxonomy
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jessica M Gallo, PHYSICIAN ASSISTANT?
The NPI number of Jessica M Gallo, PHYSICIAN ASSISTANT is 1295305191. It was assigned on July 1, 2021 and is currently active in the NPPES registry.
What is the specialty of Jessica M Gallo, PHYSICIAN ASSISTANT?
Jessica M Gallo, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00668200.
Where does Jessica M Gallo, PHYSICIAN ASSISTANT practice?
The practice location is 17-17 Route 208, Fair Lawn, NJ 07410-2820. The office can be reached at 201-345-7557 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295305191 directly on the NPPES registry website.