Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Gallus Lereh Fotabong

Gerontology Nurse Practitioner in Lynn, MA · enumerated 2021.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1821755513

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Registry record

Entity type Individual (Type 1)

Name Mr. Gallus Lereh Fotabong

Sex Male

Practice address 41 Harvest St, Lynn, MA, 01902

Phone (781) 244-8473

Enumeration date Nov 17, 2021

Last updated in NPPES Nov 17, 2021

Taxonomy & licenses

363LG0600X Gerontology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AG11210066 (MA) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Gallus Fotabong practice?

The practice location on file with NPPES is in Lynn, MA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Gallus Fotabong?

The National Provider Identifier (NPI) for Gallus Fotabong is 1821755513, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-11-17.