Active NPI
Debabrata Ghosh, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Elyria, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 356083532
- Practice address
- 673 E River St
Elyria, OH 44035-5935 - Phone
- (440) 323-6422
- Fax
- (440) 322-5574
- NPI assigned
- Sep 13, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 35.083532 | OH | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 308919 | NY | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 356083532 | OH | Primary |
Addresses
Primary practice location
673 E River St
Elyria, OH 44035-5935
Mailing address
673 E River St
Elyria, OH 44035-5935
Phone (440) 323-6422
Other practice location 1
700 US Highway 46 Ste 420
Fairfield, NJ 07004-1532
Phone (973) 882-3456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2629114 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, CT, NY, NJ, AL, FL, DC, GA, SC, PA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 11
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Retreat Ave
Suite 302
Hartford, CT 06106-2528
Phone (973) 882-3456
101 Hospital Rd
Patchogue, NY 11772-4870
Phone (631) 654-7100
1304 Sunset Blvd
West Columbia, SC 29169-5914
Phone (973) 882-3456
1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (973) 882-3456
201 14TH St SW
Largo, FL 33770-3133
Phone (973) 882-3456
3201 Edwards Mill Rd
Suite 141 485
Raleigh, NC 27612-5385
Phone (888) 329-0807
400 W Peachtree St NW
Atlanta, GA 30308-3536
Phone (888) 329-0807
673 E River St
Elyria, OH 44035-5935
Phone (440) 323-6422
700 US Hwy 46
Suite 420
Fairfield, NJ 07004-1532
Phone (973) 882-3456
821 Huntingdon Pike
Huntingdon Valley, PA 19006-8371
Phone (973) 882-3456
Hospital & facility affiliations
- Westchester Medical Center
- White Plains Hospital Center
- Jack Hughston Memorial Hospital
- Kaleida Health
- Northern Westchester Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94512 | SC | MD | Internal Medicine Physician |
| 356083532 | OH | MD | Neurology with Special Qualifications in Child Neurology Physician |
| 35.083532 | OH | MD | General Practice Physician |
| 308919 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Center Inc | Neurology With Special Qualifications in Child Neurology | Current | Accepting new patients |
| Neurophysiologic Interpretive Specialists LLC | Current | Accepting new patients | |
| Neurophysiologic Interpretive Medicine PLLC | Current | Accepting new patients | |
| Signify Health, LLC | General Practice | Current | Accepting new patients |
| Neuroshield Network SE LLC | Current | Accepting new patients |
Locations
100 Retreat Ave
Ste 302
Hartford, CT 06106
Phone (860) 266-1845
201 14th St SW
Largo, FL 33770
Phone (727) 588-5222
400 W Peachtree St NW
Ste 400
Atlanta, GA 30308
1330 Piccard Dr
Ste 102
Rockville, MD 20850
Phone (301) 208-7350
3201 Edwards Mill Rd
Ste 141485
Raleigh, NC 27612
700 US Highway 46
Ste 420
Fairfield, NJ 07004
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830
175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902
673 E River St
Elyria, OH 44035
Phone (440) 322-0872
821 Huntingdon Pike
Huntingdon Vy, PA 19006
Phone (215) 938-3413
1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413
1304 Sunset Blvd
West Columbia, SC 29169
Phone (803) 594-3300
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- dghosh814414@direct.shands.ufl.edu
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 and National Provider Directory roles.
-
- Neurology Physician
- Elyria, OH
- NPI 1154425577
Neurology With Special Qualifications in Child Neurology
-
- Neurology Physician
- Fairfield, NJ
- NPI 1780827162
CT, DC, PA
-
- Clinical Neurophysiology Physician
- Fairfield, NJ
- NPI 1538600606
FL, GA, NC, SC
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- General Acute Care Hospital
- North Tonawanda, NY
- NPI 1104956358
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
-
- Medicare Defined Swing Bed Hospital Unit
- Mount Kisco, NY
- NPI 1396178356
-
- General Acute Care Hospital
- Mount Kisco, NY
- NPI 1912992215
-
- General Acute Care Hospital
- Phenix City, AL
- NPI 1023050101
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
-
- General Acute Care Hospital
- White Plains, NY
- NPI 1447255153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1356446595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "673 E RIVER ST",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440355935",
"telephone_number": "440-323-6422",
"fax_number": "440-322-5574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "673 E RIVER ST",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440355935",
"telephone_number": "440-323-6422",
"fax_number": "440-322-5574"
}
],
"practiceLocations": [
{
"address_1": "700 US Highway 46 Ste 420",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "NJ",
"postal_code": "070041532",
"country_code": "US",
"telephone_number": "973-882-3456",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHOSH",
"first_name": "DEBABRATA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "35.083532",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "NY",
"license": "308919",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "OH",
"license": "356083532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2629114",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.