Pooja Gangwani, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

060025-1 Issued in NY

Practice address

3223 N Broad St
Philadelphia, PA 19140-5007

Phone

(215) 707-7721

NPI assigned

Jun 10, 2013

Last updated

Jan 5, 2023By the provider in NPPES

Sex

Female

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Temple University of the Commonwealth System of Higher Education

  dba Temple Foot and Ankle Institute

  • Podiatrist
  • Philadelphia, PA
  • NPI 1265446983
  Medicare reassignment NPD
• Temple University of the Commonwealth System of Higher Education

  dba Temple University Kornberg School of Dentistry OS

  • Oral and Maxillofacial Surgery (Dentist)
  • Philadelphia, PA
  • NPI 1912687187
  Medicare reassignment NPD
• Temple University Hospital, Inc

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1962579029
  NPD (past)
• Temple University of the Commonwealth System of Higher Education

  dba Temple University Kornberg School of Dentistry

  • Dental Clinic/Center
  • Philadelphia, PA
  • NPI 1841268604
  NPD (past)

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1477991677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405007",
            "telephone_number": "215-707-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGWANI",
        "first_name": "POOJA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "060025-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepthi Gangaram, DO
• Andrew Joseph Gangemi, M.D.
• Chethan Gangireddy, MD
• Arupa Ganguly, PHD
• Taneeta Mindy Ganguly, MD
• Julianna Loren Ganim
• Theodore J Ganley, M.D.
• Christine Bridget Gannon
• Helen Felker Gannon, M.A., CCC-SLP
• Maria Elizabeth Gannon, M.S. L.AC.

• Oral and Maxillofacial Surgery (Dentist) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.