Afshin Ganjian, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N005300 Issued in NY

Practice address

146 Sheridan Ave
Brooklyn, NY 11208-3025

Phone

(718) 235-6100

Fax

(718) 827-6521

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medex Diagnostic and Treatment Center LLCGroup PAC ID 1456336445, 26 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

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

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.

• Medex Diagnostic and Treatment Center LLC

  • Clinic/Center
  • Forest Hills, NY
  • NPI 1629001102
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235226689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 SHERIDAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083025",
            "telephone_number": "718-235-6100",
            "fax_number": "718-827-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 SHERIDAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083025",
            "telephone_number": "718-235-6100",
            "fax_number": "718-827-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANJIAN",
        "first_name": "AFSHIN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01767913",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alacesa Ganiadoo
• Ulugbek Ganiev, PT
• Albina Ganieva
• Tamar Yaffa Ganin
• Siavash Ganjbakhsh, MD
• Inna Gankina
• Shannon Victoria Ganley
• Betty Lynn Gannon, LCSW
• Haven Gannon, LMSW
• Holly M Gannon, LCAT

• Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• 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.