Provider Demographics
NPI:1356575104
Name:GALESI, JODI (APN-C)
Entity type:Individual
Prefix:MRS
First Name:JODI
Middle Name:
Last Name:GALESI
Suffix:
Gender:F
Credentials:APN-C
Other - Prefix:
Other - First Name:JODI
Other - Middle Name:
Other - Last Name:ADINOLFI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:66 WEST GILBERT STREET
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-4918
Mailing Address - Country:US
Mailing Address - Phone:732-212-0051
Mailing Address - Fax:732-212-0713
Practice Address - Street 1:242 W PARKWAY
Practice Address - Street 2:CMH OCCUPATIONAL HEALTH CENTER
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444-1029
Practice Address - Country:US
Practice Address - Phone:973-831-5393
Practice Address - Fax:973-831-5211
Is Sole Proprietor?:No
Enumeration Date:2009-05-07
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN08096900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily