Individual provider Active NPI

Nicole Ganas

  • Rehabilitation Practitioner
  • Flushing, NY
National Provider Identifier
1083420467
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
050023 Issued in NY
Practice address
14037 Cherry Ave Ste 1a
Flushing, NY 11355-7805
Phone
(718) 661-4201
Fax
(718) 661-0066
NPI assigned
Dec 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X 050023 NY Primary

Addresses

Primary practice location

14037 Cherry Ave Ste 1a
Flushing, NY 11355-7805

Mailing address

14037 Cherry Ave Ste 1a
Flushing, NY 11355-7805
Phone (718) 661-4201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250130000953 NY Practitioner - Physical Therapist in Private Practice 7416486899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

63 -70 Woodhaven Blvd
Rego Park, NY 11374-2992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Solar Health Physical Therapy and Acupuncture P.C. CurrentSince Jan 3, 2025 Accepting new patients
Chung Ying Physical Therapy and Acupuncture PC CurrentSince Jan 3, 2025 Accepting new patients

Locations

833 58th St
Brooklyn, NY 11220
Phone (718) 290-2919

339 Kings Hwy
Brooklyn, NY 11223
Phone (347) 274-8591

623 Stewart Ave
Ste 100
Garden City, NY 11530
Phone (516) 464-6888

3097 Steinway St
Long Is City, NY 11103
Phone (718) 545-5100

315 W 57th St
Ste 302
New York, NY 10019
Phone (212) 265-2052

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": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1083420467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14037 CHERRY AVE STE 1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113557805",
            "telephone_number": "718-661-4201",
            "fax_number": "718-661-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14037 CHERRY AVE STE 1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113557805",
            "telephone_number": "718-661-4201",
            "fax_number": "718-661-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANAS",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NY",
            "license": "050023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.