Active NPI
Melissa Ann Ganz, MS, RDN, CDN
- Registered Dietitian
- Garden City, NY
National Provider Identifier
1760994487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86064631
- Practice address
- 8 Huntington Rd
Garden City, NY 11530-3015 - Phone
- (516) 640-0509
- NPI assigned
- Nov 3, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86064631 | NY | Primary |
Addresses
Primary practice location
8 Huntington Rd
Garden City, NY 11530-3015
Mailing address
8 Huntington Rd
Garden City, NY 11530-3015
Other names 1
- Melissa Ann Montreuil
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190318001305 | NY | Practitioner - Registered Dietitian Or Nutrition Professional | 3072853647 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86064631 | NY | MD | Registered Dietitian |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- mganz51590@northwell.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1760994487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 HUNTINGTON RD",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115303015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 HUNTINGTON RD",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115303015",
"telephone_number": "516-640-0509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANZ",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "MS, RDN, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-03",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "86064631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "MONTREUIL",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.