Individual provider Active NPI

Moshe S Ganchrow, M.S.P.T

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1780890145
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021059-1 Issued in NY
Practice address
3131 Kings Hwy
Suite C2
Brooklyn, NY 11234-2644
Phone
(718) 258-1238
Fax
(718) 258-1274
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 021059-1 NY Primary

Addresses

Primary practice location

3131 Kings Hwy
Suite C2
Brooklyn, NY 11234-2644

Mailing address

3131 Kings Hwy
Suite C2
Brooklyn, NY 11234-2644
Phone (718) 258-1238

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040320000230 NY Practitioner - Physical Therapist in Private Practice 2567353600 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwood Physical Therapy of Brooklyn, PCGroup PAC ID 0941386684, 4 clinicians

Practice addresses (Care Compare)

6010 Bay Pkwy
Brooklyn, NY 11204-6079
Phone (718) 283-8962

813 Quentin Rd
Suite 106
Brooklyn, NY 11223-2219
Phone (718) 627-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021059-1NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Priority One Therapy PT OT SLP PLLC CurrentSince Jul 5, 2020 Accepting new patients
Achieve Occupational Therapy and Physical Therapy of Brooklyn, PLLC Physical Therapist CurrentSince Jan 4, 2026 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Nov 1, 2022 Accepting new patients
Maimonides Medical Center Orthopaedic FPP CurrentSince Feb 19, 2024 Accepting new patients
Maimonides Bone and Joint Faculty Practice Physical Therapy CurrentSince Nov 1, 2022 Accepting new patients

Locations

170 Murray St
Auburn, NY 13021
Phone (315) 253-2755

813 Quentin Rd
Ste 106
Brooklyn, NY 11223
Phone (718) 627-8100

1715 E 13th St
Ste 402
Brooklyn, NY 11229

1715 E 13th St
Ste 4
Brooklyn, NY 11229

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

6010 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 238-2100

813 Quentin Rd
Brooklyn, NY 11223
Phone (718) 283-6430

1715 E 13th St
#4
Brooklyn, NY 11229
Phone (718) 258-2588

6010 Bay Pkwy
Fl 1
Brooklyn, NY 11204
Phone (718) 283-6087

6010 Bay Pkwy
Ste 1
Brooklyn, NY 11204

99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190

Networks

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

Organizations & group practices 6

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1780890145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 KINGS HWY",
            "address_2": "SUITE C2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342644",
            "telephone_number": "718-258-1238",
            "fax_number": "718-258-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 KINGS HWY",
            "address_2": "SUITE C2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342644",
            "telephone_number": "718-258-1238",
            "fax_number": "718-258-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANCHROW",
        "first_name": "MOSHE",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "M.S.P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021059-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.