Individual provider Active NPI

Maximillian Phillip Ganz, DO

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Merrick, NY
National Provider Identifier
1144859240
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
337988 Issued in NY
Practice address
1728 Sunrise Hwy
Merrick, NY 11566-3745
Phone
(516) 279-3352
NPI assigned
Apr 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 337988 NY Primary

Addresses

Primary practice location

1728 Sunrise Hwy
Merrick, NY 11566-3745

Mailing address

1728 Sunrise Hwy
Merrick, NY 11566-3745

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260319003517 NY Practitioner - Orthopedic Surgery 6204310048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1111 Marcus Ave
New Hyde Park, NY 11042-1034

2 Brighton Rd
Suite 300
Clifton, NJ 07012-1645

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
337988NYMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
True North Medical Group PC Adult Reconstructive Orthopaedic Surgery CurrentSince May 8, 2026 Accepting new patients
True North Medical Group PC Adult Reconstructive Orthopaedic Surgery CurrentSince May 8, 2026 Accepting new patients

Locations

1728 Sunrise Hwy
Merrick, NY 11566
Phone (516) 992-4568

888 Old Country Rd
Plainview, NY 11803
Phone (516) 719-2543

45 Crossways Park Dr W
Woodbury, NY 11797
Phone (516) 422-8080

Interoperability endpoints

  • Direct secure messaging: mganz379399@northwell.direct-ci.com

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1144859240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 SUNRISE HWY",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 SUNRISE HWY",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663745",
            "telephone_number": "516-279-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANZ",
        "first_name": "MAXIMILLIAN",
        "middle_name": "PHILLIP",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NY",
            "license": "337988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

Verify at the official NPI Registry.