Paul Joseph Ganjian, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

482791 Issued in NY

Practice address

5 W 71St St
New York, NY 10023-4198

Phone

(212) 362-3360

Fax

(212) 202-4823

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1457577629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 W 71ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234198",
            "telephone_number": "212-362-3360",
            "fax_number": "212-202-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W 71ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234198",
            "telephone_number": "212-362-3360",
            "fax_number": "212-202-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANJIAN",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "0482791",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "482791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://www.ident.ws/template_include/new_patient_sign_in.do?site=14759&practiceId=48545",
            "affiliation": "N",
            "endpointDescription": "Patient Queestionare",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5 W 71st St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100234198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.ident.ws/template_include/pi_login.jsp?site=14759&practiceId=48545&page=Patient+Informat",
            "affiliation": "N",
            "endpointDescription": "patient portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5 W 71st St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100234198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Farida Julia Ganieva
• Ron Ganik, DDS
• Ashley Ganin, M.S. CCC-SLP
• Lisa Ganjhu, D.O.
• Danielle Yehoudith Ganjian, MD
• Pedram Ganjian
• Akshay Ganju, M.D.
• Kendra Ganley
• Ian Ganly, M.D, P.H.D
• Maxine L Gann, PH.D.

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.