Active NPI
Akshay Ganju, M.D.
- General Practice Physician
- New York, NY
National Provider Identifier
1083032056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 288709-1
- Practice address
- 45 W 67TH St
New York, NY 10023-6257 - Phone
- (212) 772-9222
- Fax
- (212) 879-7235
- NPI assigned
- Apr 7, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 288709-1 | NY | Primary |
Addresses
Primary practice location
45 W 67TH St
New York, NY 10023-6257
Mailing address
45 W 67TH St
New York, NY 10023-6257
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 288709-1 | NY | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akshay Ganju MD-PC | General Practice | Current | Accepting new patients |
| North Shore-Lij Medical PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medical Association Sound Shore PLLC | Emergency Medicine | Current | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680
300 Community Dr
Plandome, NY 11030
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EGDHCD/Endpoint/EGDHCD
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- New Rochelle, NY
- NPI 1649200015
-
- General Practice Physician
- New York, NY
- NPI 1184470783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1083032056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 W 67TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100236257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 W 67TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100236257",
"telephone_number": "212-772-9222",
"fax_number": "212-879-7235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANJU",
"first_name": "AKSHAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-07",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "288709-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.