NPIMap

Individual provider Active NPI

Sudha Ganne, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • West Long Branch, NJ
National Provider Identifier
1376747618
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
25MA07676300 Issued in NJ
Practice address
103 Parker Rd
West Long Branch, NJ 07764-1009
Phone
(732) 222-0307
Fax
(732) 222-0394
NPI assigned
Jun 12, 2007
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07676300 NJ
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 25MA07676300 NJ Primary

Addresses

Primary practice location

103 Parker Rd
West Long Branch, NJ 07764-1009

Mailing address

103 Parker Rd
West Long Branch, NJ 07764-1009
Phone (732) 222-0307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071026000173 NJ Practitioner - EndocrinologyPractitioner - Internal Medicine 7416044250 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
State University of New York Downstate Medical Center, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prime Endocrinology, LLCGroup PAC ID 3870834112, 2 clinicians

Practice addresses (Care Compare)

103 Parker Rd
Suite B
West Long Branch, NJ 07764-1009
Phone (732) 222-0307

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.66 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
75.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Endocrinology, LLC CurrentSince Feb 26, 2019 Accepting new patients
Barnabas Health Medical Group PC CurrentSince May 31, 2023 Accepting new patients
Barnabas Health Medical Group, PC Internal Medicine CurrentSince Nov 1, 2007 Accepting new patients
Barnabas Health Medical Group PC Internal Medicine CurrentSince May 31, 2023 Accepting new patients

Locations

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

300 2nd Ave
Ste 5
Long Branch, NJ 07740
Phone (732) 923-5026

103 Parker Rd
Ste B
West Long Branch, NJ 07764
Phone (732) 222-0307

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Interoperability endpoints

  • Direct secure messaging: sudha.ganne.1@18587.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1376747618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PARKER RD",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641009",
            "telephone_number": "732-222-0307",
            "fax_number": "732-222-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PARKER RD",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641009",
            "telephone_number": "732-222-0307",
            "fax_number": "732-222-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNE",
        "first_name": "SUDHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07676300",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MA07676300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.