Organization Active NPI

Village Family Health NP Services PLLC

  • Multi-Specialty Clinic/Center
  • Jamaica, NY
National Provider Identifier
1669351763
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
VILLAGE FAMILY HEALTH NP SERVICES PLLC
Practice address
8916 175TH St Ste CF3
Jamaica, NY 11432-5557
Phone
(347) 836-5824
NPI assigned
Sep 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Authorized official

Name
Ganesh DudaniNPI 1073339974
Title
Member
Phone
(347) 836-5824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Multi-Specialty Clinic/Center 261QM1300X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

8916 175TH St Ste CF3
Jamaica, NY 11432-5557

Mailing address

8916 175TH St Ste CF3
Jamaica, NY 11432-5557
Phone (347) 836-5824

Other practice location 1

11622 Queens Blvd
Forest Hills, NY 11375-7055
Phone (347) 836-5824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260217001872 NY Part B Supplier - Clinic/Group Practice 6800376096 Receives reassigned benefits from 1 practitioner
Practice locations: Jamaica, NY

National Provider Directory

National Provider Directory

Locations

11622 Queens Blvd
Forest Hills, NY 11375
Phone (718) 261-0630

8916 175th St
Ste CF3
Jamaica, NY 11432
Phone (347) 836-5824

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764288000000",
    "number": "1669351763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8916 175TH ST STE CF3",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325557",
            "telephone_number": "347-836-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8916 175TH ST STE CF3",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325557",
            "telephone_number": "347-836-5824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11622 Queens Blvd",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113757055",
            "country_code": "US",
            "telephone_number": "347-836-5824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VILLAGE FAMILY HEALTH NP SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A",
        "authorized_official_last_name": "DUDANI",
        "authorized_official_first_name": "GANESH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "347-836-5824"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.