Lauren Michele Ganca

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

011016-1 Issued in NY

Practice address

5820 Utopia Pkwy
Room 341
Fresh Meadows, NY 11365-1529

Phone

(718) 281-8299

NPI assigned

Mar 25, 2012

Last updated

Mar 25, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lauren Michele Ganca Professional name

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": "1332633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332633600000",
    "number": "1508132416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22055 46TH AVE",
            "address_2": "APT. 2Y",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613601",
            "telephone_number": "718-428-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 UTOPIA PKWY",
            "address_2": "ROOM 341",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651529",
            "telephone_number": "718-281-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANCA",
        "first_name": "LAUREN",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-25",
        "last_updated": "2012-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "011016-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "GANCA",
            "middle_name": "MICHELE",
            "credential": "M.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Occupational Therapist in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2012; 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.