Ishan Pradeep Ghumare

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2601 Ocean Parkway, Nyc Health and Hospitals, South Bro
Room 7E
Brooklyn, NY 11235

Phone

(718) 616-3779

NPI assigned

May 7, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1477301307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 OCEAN PARKWAY, NYC HEALTH AND HOSPITALS, SOUTH BRO",
            "address_2": "ROOM 7E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-616-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 OCEAN PARKWAY, NYC HEALTH AND HOSPITALS, SOUTH BRO",
            "address_2": "ROOM 7E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-616-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHUMARE",
        "first_name": "ISHAN",
        "middle_name": "PRADEEP",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanalyn Ghosh
• Suman Ghosh, MD
• Muhammad Ghufran, MD
• Karim Mohamed Fawzy Ghuiba, PT
• Jana Milhim Ghulmiyyah, M.D.
• Mona Ghuneim, FAMILY PEER ADVOCATE
• Raghda Ghussen Alraei, MS, RD
• Gi Liver Diagnostics, L.L.C.
• Gi Pysician PLLC
• Danese Catherine Giacchino, M.S.ED.

• Student in an Organized Health Care Education/Training Program in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.