Active NPI
Kingsuk Ganguly, M.D.
- Anesthesiology Physician
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA09636600
- Practice address
- 1 Cooper PLZ
Camden, NJ 08103-1461 - Phone
- (856) 342-2425
- NPI assigned
- Apr 29, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A118273 | CA | |
| Anesthesiology Physician | 207L00000X | 25MA09636600 | NJ | Primary |
Addresses
Primary practice location
1 Cooper PLZ
Camden, NJ 08103-1461
Mailing address
1 Federal St Ste Sw200
Camden, NJ 08103-1155
Phone (856) 356-4924
Other practice location 1
300 Pasteur Dr
H3580
Stanford, CA 94305-2200
Phone (650) 725-8544
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Rutgers New Jersey Medical School, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 Centennial Blvd
Voorhees, NJ 08043-4637
Phone (856) 325-6505
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.89 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 63.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A118273 | CA | MD | Anesthesiology Physician |
| 25MA09636600 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Anesthesia Associates, PC | Anesthesiology | Current | Accepting new patients |
| CHC Pain Management Center, PA | Current | Accepting new patients |
Locations
3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
3 Cooper Plz
Rm 314
Camden, NJ 08103
Phone (609) 963-6770
1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920
400 W Route 38
#2
Moorestown, NJ 08057
400 W Route 38
Fl 2
Moorestown, NJ 08057
Phone (856) 270-4002
400 W Route 38
Moorestown, NJ 08057
Phone (856) 270-4000
501 Fellowship Rd
Ste 102
Mount Laurel, NJ 08054
Phone (856) 380-1768
6200 Main St
Voorhees, NJ 08043
Phone (856) 325-6516
900 Centennial Blvd
Bldg 1
Voorhees, NJ 08043
Phone (856) 325-6535
900 Centennial Blvd
Ste E
Voorhees, NJ 08043
Phone (856) 325-6505
900 Centennial Blvd
Voorhees, NJ 08043
Phone (856) 325-6505
900 Centennial Blvd
Ste G
Voorhees, NJ 08043
Phone (856) 325-6565
218C Sunset Rd
Willingboro, NJ 08046
Phone (609) 877-0400
Interoperability endpoints
- kganguly40881@direct.cooperhealth.edu
Organizations & group practices 2
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.
-
- Pain Medicine (Anesthesiology) Physician
- Camden, NJ
- NPI 1538109913
-
- Anesthesiology Physician
- Camden, NJ
- NPI 1447207147
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519948800000",
"number": "1336584762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST STE SW200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031155",
"telephone_number": "856-356-4924",
"fax_number": "856-356-4710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COOPER PLZ",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031461",
"telephone_number": "856-342-2425"
}
],
"practiceLocations": [
{
"address_1": "300 Pasteur Dr",
"address_2": "H3580",
"address_purpose": "LOCATION",
"city": "Stanford",
"state": "CA",
"postal_code": "943052200",
"country_code": "US",
"telephone_number": "650-725-8544",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GANGULY",
"first_name": "KINGSUK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-29",
"last_updated": "2018-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A118273",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA09636600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.