Individual provider Active NPI

Christine Anne Ganzer, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1336353325
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
40-400873 Issued in NY
Practice address
120 E 56TH St RM 1040
New York, NY 10022-3651
Phone
(212) 888-0002
Fax
(212) 888-1899
NPI assigned
May 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 40-400873 NY Primary

Addresses

Primary practice location

120 E 56TH St RM 1040
New York, NY 10022-3651

Mailing address

27 Beacon Hill Rd
Port Washington, NY 11050-3031
Phone (516) 944-7747

Other names 1

  • Mrs. Christine Anne Ganzer Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160831002160 NY Practitioner - Nurse Practitioner 6204122286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Samuel Field YmandywhaGroup PAC ID 9537154638, 18 clinicians

Practice addresses (Care Compare)

16965 137TH Ave
Jamaica, NY 11434-4517
Phone (718) 224-0566

20811 26TH Ave
Bayside, NY 11360-2401
Phone (718) 224-0566

5820 Little Neck Pkwy
Little Neck, NY 11362-2530
Phone (718) 224-0566

5928 Little Neck Pkwy
Little Neck, NY 11362-2532
Phone (718) 224-0566

6709 108TH St
Forest Hills, NY 11375-2146
Phone (718) 224-0566

6852 Fresh Pond Rd
Ridgewood, NY 11385-5230
Phone (718) 224-0566

7501 Broadway
Elmhurst, NY 11373-5612
Phone (718) 224-0566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40-400873NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel Field Ym&Ywha CurrentSince Jul 18, 2016 Accepting new patients
Alan R. Jacobs, M.D., P.C. Past Accepting new patients
Karat Health, Inc. PastSince Jul 18, 2016 Accepting new patients
Debra Posner, LCSW, P.C. PastSince Sep 25, 2017 Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. Past Accepting new patients

Locations

5820 Little Neck Pkwy
Little Neck, NY 11362
Phone 64651875842001

5928 Little Neck Pkwy
Little Neck, NY 11362
Phone (347) 306-0767

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336353325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BEACON HILL RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503031",
            "telephone_number": "516-944-7747",
            "fax_number": "516-944-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 56TH ST RM 1040",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223651",
            "telephone_number": "212-888-0002",
            "fax_number": "212-888-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANZER",
        "first_name": "CHRISTINE",
        "middle_name": "ANNE",
        "name_prefix": "Prof.",
        "credential": "NPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "40-400873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "GANZER",
            "middle_name": "ANNE",
            "prefix": "MRS.",
            "credential": "NPP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.