Individual provider Active NPI

Ganesh Dudani

  • Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1073339974
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
355065 Issued in NY
Practice address
6915 Austin St
Forest Hills, NY 11375-4255
Phone
(718) 263-3500
NPI assigned
Nov 25, 2024
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 355065 NY Primary

Addresses

Primary practice location

6915 Austin St
Forest Hills, NY 11375-4255

Mailing address

6915 Austin St
Forest Hills, NY 11375-4255
Phone (718) 263-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260217001982 NY Practitioner - Nurse Practitioner 7618457805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8916 175TH St
Suite CF3
Jamaica, NY 11432-5550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
355065NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Health NP Services PLLC CurrentSince Dec 30, 2025 Accepting new patients
RTM Physiatry and Psychiatry PLLC Past Accepting new patients

Locations

8916 175th St
Ste CF3
Jamaica, NY 11432
Phone (347) 836-5824

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJBEAA/Endpoint/EJBEAA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1073339974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 AUSTIN ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754255",
            "telephone_number": "718-263-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 AUSTIN ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754255",
            "telephone_number": "718-263-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDANI",
        "first_name": "GANESH",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "355065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.