Azhagasundaram Ganesan, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

30225 Issued in NJ

Practice address

534 Clifton Ave
Clifton, NJ 07011-3230

Phone

(976) 365-1330

Fax

(973) 365-2410

NPI assigned

Oct 10, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Peace and Wellness Center LLC

  • Clinic/Center
  • Clifton, NJ
  • NPI 1942713813
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285722736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113230",
            "telephone_number": "976-365-1330",
            "fax_number": "973-365-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113230",
            "telephone_number": "976-365-1330",
            "fax_number": "973-365-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANESAN",
        "first_name": "AZHAGASUNDARAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "30225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2419301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jet Adam Gaminde VIII, P.T.
• Om P Gandhi, M.D.
• Sonu Hitesh Gandhi, PT
• Sushma Gandhi, M.D.
• Urja Alay Gandhi
• Wayne Samuel Gangi, D.M.D., M.D.
• Joyce Gani
• Andrew T Ganley
• Ayelet Esther Gaon
• Veronica P Garces, APN

• Hematology & Oncology Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Hematology & Oncology Physician in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.