Individual provider Active NPI

Gheorghe Romeo Ganea, MD

  • Pediatrics Physician
  • Sunnyside, NY
National Provider Identifier
1659330082
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
205379 Issued in NY
Practice address
4701 Queens Blvd
Suite 303
Sunnyside, NY 11104-1600
Phone
(718) 707-3434
Fax
(718) 707-3435
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 205379 NY Primary
Pediatric Critical Care Medicine Physician 2080P0203X 205379 NY

Addresses

Primary practice location

4701 Queens Blvd
Suite 303
Sunnyside, NY 11104-1600

Mailing address

3777 Independence Ave
Apt 15F
Bronx, NY 10463-1409
Phone (718) 707-3434

Other identifiers 1

IdentifierTypeStateIssuer
01714149MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
205379NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Our Neighborhood Medical PC Pediatrics Current Accepting new patients
St Lukes Roosevelt Hospital Center Pediatrics Past Accepting new patients

Locations

4701 Queens Blvd
Ste 303
Sunnyside, NY 11104
Phone (718) 389-7500

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61669
  • Direct secure messaging: onmpc@onmpc.directbygreenway.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1659330082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 INDEPENDENCE AVE",
            "address_2": "APT 15F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631409",
            "telephone_number": "718-707-3434",
            "fax_number": "718-707-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 QUEENS BLVD",
            "address_2": "SUITE 303",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041600",
            "telephone_number": "718-707-3434",
            "fax_number": "718-707-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANEA",
        "first_name": "GHEORGHE",
        "middle_name": "ROMEO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "205379",
            "primary": true
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NY",
            "license": "205379",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01714149",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.