Active NPI
Andrew T Ganley
- Electroneurodiagnostic Specialist/Technologist
- Clifton, NJ
National Provider Identifier
1700366531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Practice address
- 1300 Main Ave
Clifton, NJ 07011-2266 - Phone
- (973) 306-0025
- NPI assigned
- Aug 21, 2018
- Last updated
- Apr 6, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | NJ | Primary |
Addresses
Primary practice location
1300 Main Ave
Clifton, NJ 07011-2266
Mailing address
338 Terrace Ave
Jersey City, NJ 07307-3954
Phone (551) 358-8478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 246ZE0600X | Other | ELECTRODIAGNOSTIC TECHNICIAN TAXONOMY |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1700366531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 TERRACE AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073073954",
"telephone_number": "551-358-8478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MAIN AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070112266",
"telephone_number": "973-306-0025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANLEY",
"first_name": "ANDREW",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-21",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELECTRODIAGNOSTIC TECHNICIAN TAXONOMY",
"identifier": "246ZE0600X",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.