Individual provider Active NPI

Rebecca Ganchrow

  • Physician Assistant
  • Woodmere, NY
National Provider Identifier
1376392209
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
03180401 Issued in NY
Practice address
12 Franklin PL
Woodmere, NY 11598-1294
Phone
(516) 660-2137
NPI assigned
May 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 03180401 NY Primary

Addresses

Primary practice location

12 Franklin PL
Woodmere, NY 11598-1294

Mailing address

800 Empire Ave
Far Rockaway, NY 11691-4857

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
I20251024000868 NY Practitioner - Physician Assistant 5496252785 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden Medical Consulting PLLCGroup PAC ID 4183143209, 2 clinicians

Practice addresses (Care Compare)

78 Birchwood Dr
Huntington Station, NY 11746-3922
Phone (631) 592-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03180401NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Garden Medical Consulting PLLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

6995 Queens Midtown Expy
Maspeth, NY 11378
Phone (718) 429-2200

78 Birchwood Dr
South Huntington, NY 11746
Phone (631) 423-3200

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.

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1376392209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 EMPIRE AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981294",
            "telephone_number": "516-660-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANCHROW",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "03180401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

Verify at the official NPI Registry.