Individual provider Active NPI

Justin Ganz, DO

  • Anesthesiology Physician
  • Brick, NJ
National Provider Identifier
1073909313
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS021084 Issued in PA
Practice address
425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone
(732) 840-2200
NPI assigned
Apr 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X DO206782 OR
Anesthesiology Physician 207L00000X DO-05777 IA
Anesthesiology Physician 207L00000X 25MA11491000 NJ
Anesthesiology Physician 207L00000X OS021084 PA Primary
Anesthesiology Physician 207L00000X 296538 NY

Addresses

Primary practice location

425 Jack Martin Blvd
Brick, NJ 08724-7732

Mailing address

3181 SW Sam Jackson Park Rd
Mailcode SJH-2
Portland, OR 97239-3011
Phone (503) 494-4910

Other practice location 1

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-7641

Other practice location 2

1 Storm St
Stroudsburg, PA 18360-2406
Phone (570) 421-4978

Other practice location 3

16 Etna Ln
Dix Hills, NY 11746-5750
Phone (516) 241-2982

Other practice location 4

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-2210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190729000628 NY Practitioner - Anesthesiology 6608110622 Reassigns benefits to 5 organizations
I20210405000570 PA Practitioner - Anesthesiology 6608110622 Reassigns benefits to 1 organization
I20221008000442 NJ Practitioner - Anesthesiology 6608110622

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians
St Vincent Medical Education and Research Institute IncGroup PAC ID 3870405137, 297 clinicians
New York UniversityGroup PAC ID 1355232422, shared by 41 NPIs, 5,925 clinicians
Associated Anesthesiologists of the Finger Lakes LLPGroup PAC ID 3476597303, 25 clinicians

Practice addresses (Care Compare)

10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000

232 W 25TH St
Ahn Saint Vincent Anesthesia
Erie, PA 16544-0002
Phone (814) 452-5000

530 1St Ave
New York, NY 10016-6402

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-6037

600 Roe Ave
Elmira, NY 14905-1629
Phone (607) 737-4100

Hospital & facility affiliations

  • Arnot Ogden Medical Center Hospital, Elmira, NY, CCN 330090
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Peconic Bay Medical Center Hospital, Riverhead, NY, CCN 330107
  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
  • NS/Lij HS Huntington Hospital Hospital, Huntington, NY, CCN 330045

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Anesthesia Physicians LLP Anesthesiology CurrentSince Jun 19, 2023 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Dec 6, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Anesthesiology CurrentSince Jun 1, 2025 Accepting new patients
New York University Anesthesiology CurrentSince Feb 6, 2026 Accepting new patients
New York University CurrentSince Sep 1, 2023 Accepting new patients
New York University Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients
New York University Anesthesiology Current Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Oct 19, 2019 Accepting new patients

Locations

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: jganz593015@nyumc.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1073909313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "MAILCODE SJH-2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-4910",
            "fax_number": "503-494-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247732",
            "telephone_number": "732-840-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-7641",
            "fax_number": "503-494-4661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Storm St",
            "address_purpose": "LOCATION",
            "city": "Stroudsburg",
            "state": "PA",
            "postal_code": "183602406",
            "country_code": "US",
            "telephone_number": "570-421-4978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Etna Ln",
            "address_purpose": "LOCATION",
            "city": "Dix Hills",
            "state": "NY",
            "postal_code": "117465750",
            "country_code": "US",
            "telephone_number": "516-241-2982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-356-2210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANZ",
        "first_name": "JUSTIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-14",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "DO206782",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "DO-05777",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA11491000",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OS021084",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "296538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.