Individual provider · Type 1 NPI

Jessica M. Gallo, PHYSICIAN ASSISTANT

Surgical Physician Assistant · Fair Lawn, NJ

NPI number 1295305191 Active

Practice location

17-17 Route 208
Fair Lawn, NJ 07410-2820

Call (201) 345-7557 Map

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X25MP00668200 (NJ)

Surgical Physician Assistant: Definition to come...

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About NPI 1295305191

Jessica M. Gallo, PHYSICIAN ASSISTANT's National Provider Identifier is 1295305191, issued on Jul 1, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fair Lawn, NJ. The record was last updated on Jan 5, 2026.