Gallus Fotabong
NPI 1821755513 · Gerontology Nurse Practitioner · Lynn, MA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gallus Fotabong is a Gerontology Nurse Practitioner provider in Lynn, MA (NPI 1821755513).
Provider details
- NPI number
- 1821755513
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- AG11210066 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-11-17
- Last updated
- 2021-11-17
- Certified
- 2021-11-17
Frequently asked questions
- What is Gallus Fotabong's NPI number?
- Gallus Fotabong's National Provider Identifier (NPI) is 1821755513, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gallus Fotabong's specialty?
- Gallus Fotabong is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Gallus Fotabong located?
- Gallus Fotabong's practice location on file with NPPES is 41 Harvest St, Lynn, MA 01902-1122.
- What is Gallus Fotabong's phone number?
- The practice phone number listed in the NPPES registry for Gallus Fotabong is (781) 244-8473.
- Does Gallus Fotabong accept Medicare?
- Gallus Fotabong is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gallus Fotabong's NPI active?
- Yes — Gallus Fotabong's NPI (1821755513) is active in the NPPES registry as of the last update on 2021-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.