Individual provider Active NPI

Ana C Garnecho, MD

  • Developmental - Behavioral Pediatrics Physician
  • Hawthorne, NY
National Provider Identifier
1396906384
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
244613 Issued in NY
Practice address
19 Bradhurst Ave Ste 2400
Hawthorne, NY 10532-2144
Phone
(914) 304-5250
Fax
(914) 345-1752
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X 244613 NY Primary
Developmental - Behavioral Pediatrics Physician 2080P0006X MD12947 RI
Developmental - Behavioral Pediatrics Physician 2080P0006X 64594 CT

Addresses

Primary practice location

19 Bradhurst Ave Ste 2400
Hawthorne, NY 10532-2144

Mailing address

400 Columbus Ave Ste 200E
Valhalla, NY 10595-1392
Phone (914) 304-5250

Other identifiers 2

IdentifierTypeStateIssuer
AG85540MedicaidRI
002254401OtherRIMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200114003538 CT Practitioner - Pediatric Medicine 9234308016 Reassigns benefits to 1 organization
I20260413000605 NY Practitioner - Pediatric Medicine 9234308016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
New York University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Columbus Ave
Suite 200E
Valhalla, NY 10595-1396

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
244613NYMDDevelopmental - Behavioral Pediatrics Physician
MD12947RIMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Dec 1, 2019 Accepting new patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Dec 1, 2019 Accepting new patients
Boston Children'S Health Physicians, LLP Developmental - Behavioral Pediatrics Past Accepting new patients

Locations

11 South Rd
Ste 120
Farmington, CT 06032
Phone (860) 837-5758

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: agarnecho49662@connecticutchildrens.direct-ci.com

Organizations & group practices 3

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1396906384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 COLUMBUS AVE STE 200E",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951392",
            "telephone_number": "914-304-5250",
            "fax_number": "914-345-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE STE 2400",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322144",
            "telephone_number": "914-304-5250",
            "fax_number": "914-345-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNECHO",
        "first_name": "ANA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NY",
            "license": "244613",
            "primary": true
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "RI",
            "license": "MD12947",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "CT",
            "license": "64594",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AG85540",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "002254401",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NY

Sources for this page

Verify at the official NPI Registry.