Active NPI
Purna Bahadur Ghallay
- Social Worker
- Fargo, ND
National Provider Identifier
1295475754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- GHA-01-4037
- Practice address
- 901 42ND St S Apt 324
Fargo, ND 58103-2162 - Phone
- (701) 541-6972
- NPI assigned
- Mar 31, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | GHA-01-4037 | ND | Primary |
Addresses
Primary practice location
901 42ND St S Apt 324
Fargo, ND 58103-2162
Mailing address
901 42ND St S Apt 324
Fargo, ND 58103-2162
Phone (701) 541-6972
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GHA-01-4037 | Medicaid | ND |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ghalaypura@gmail.com | Health Information Exchange (HIE) | |
| Other URL | ghalaypura@gmail.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GHA-01-4037 | ND | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1295475754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 42ND ST S APT 324",
"city": "FARGO",
"state": "ND",
"postal_code": "581032162",
"telephone_number": "701-541-6972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 42ND ST S APT 324",
"city": "FARGO",
"state": "ND",
"postal_code": "581032162",
"telephone_number": "701-541-6972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHALLAY",
"first_name": "PURNA",
"middle_name": "BAHADUR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-31",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ND",
"license": "GHA-01-4037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GHA-01-4037",
"state": "ND"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ghalaypura@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "901 42nd St S Apt 324",
"city": "Fargo",
"state": "ND",
"country_code": "US",
"postal_code": "581032162",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ghalaypura@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "901 42nd St S Apt 324",
"city": "Fargo",
"state": "ND",
"country_code": "US",
"postal_code": "581032162",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.