Elizabeth Ganopolsky

Primary specialty

Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X

License

25MA06944500 Issued in NJ

Practice address

40 Engle St
Englewood, NJ 07631-2905

Phone

(201) 567-0522

Fax

(201) 567-5955

NPI assigned

Apr 12, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Metropolitan Anesthesia Group LLC

  • Anesthesiology Physician
  • Englewood, NJ
  • NPI 1205087533
  Medicare reassignment NPD

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1518181791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312905",
            "telephone_number": "201-567-0522",
            "fax_number": "201-567-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312905",
            "telephone_number": "201-567-0522",
            "fax_number": "201-567-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANOPOLSKY",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "NJ",
            "license": "25MA06944500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8082502",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gan Aliza LLC (Shalva ABA services)
• Maz Ganat, M.D.
• Michelle Ganat, MD
• Nisha Gandhi, MD
• Sejal Gandhi, M.D
• S Ramaiah Ganti, MD
• Kenneth Fred Garay, M.D.
• Gustavo A Garces, D.M.D
• Lee Robbins Gardner, M.D.
• David Garfunkel, MD

• Pediatric Anesthesiology Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Pediatric Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.