Kennedy U Ganti, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA08152400 Issued in NJ

Practice address

651 John F Kennedy Way
Willingboro, NJ 08046-1262

Phone

(609) 835-2838

Fax

(609) 589-3841

NPI assigned

Aug 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Family Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Robert Wood Johnson University Hospital at Hamilton Hospital, Hamilton, NJ, CCN 310110

Merit-based Incentive Payment System (MIPS)

Final score

98.51 of 100Reported as apm

Quality

84.27

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Rwjbh Primary Care Services

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1265037501

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Cooper Family Medicine, PC

  • Family Medicine Physician
  • Cherry Hill, NJ
  • NPI 1649217175
  Medicare reassignment NPD
• Cooper Physician Offices, PA

  • Internal Medicine Physician
  • Camden, NJ
  • NPI 1154369510
  Medicare reassignment NPD
• Ashurst Family Physicians, PA

  • Family Medicine Physician
  • Lumberton, NJ
  • NPI 1861483299
  NPD (past)
• Lumberton Family Physicians, LLC

  • Family Medicine Physician
  • Lumberton, NJ
  • NPI 1851488001
  NPD (past)

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

• Robert Wood Johnson University Hospital at Hamilton

  • General Acute Care Hospital
  • Hamilton, NJ
  • NPI 1629069638
  Care Compare affiliation

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1235322165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 JOHN F KENNEDY WAY",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461262",
            "telephone_number": "609-835-2838",
            "fax_number": "609-589-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTI",
        "first_name": "KENNEDY",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-23",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083C0008X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Clinical Informatics",
            "state": "NJ",
            "license": "25MA08152400",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08152400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146471",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharmila Galvelis
• Henry Ganda, LPN
• Kishor Gandhi, M.D.
• Vishal Gandhi, MD
• Mary Lee Ganesh
• Nathalie Garcia
• Brenae Garvin
• Keya Gaynor
• Jennifer Lynn Gazafi, MSW
• Johnny Gelin

• Family Medicine Physician in Willingboro, NJ
• Providers in Willingboro, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.