Active NPI
Dinesh Ganatra
- Pharmacist
- Newark, NJ
National Provider Identifier
1851669154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RS00293500
- Practice address
- 124 Spruce St
Newark, NJ 07108-3015 - Phone
- (973) 623-1876
- Fax
- (973) 623-2260
- NPI assigned
- Dec 1, 2011
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RS00293500 | NJ | Primary |
Addresses
Primary practice location
124 Spruce St
Newark, NJ 07108-3015
Mailing address
23 Baltic St
Edison, NJ 08820-2726
Phone (732) 516-1767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4325702 | Medicaid | NJ |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RS00293500 | NJ | MD | Pharmacist |
Practice roles
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.
-
- Community/Retail Pharmacy
- Newark, NJ
- NPI 1790790319
-
- Durable Medical Equipment & Medical Supplies
- Newark, NJ
- NPI 1861911653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1851669154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 BALTIC ST",
"city": "EDISON",
"state": "NJ",
"postal_code": "088202726",
"telephone_number": "732-516-1767",
"fax_number": "973-623-2260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 SPRUCE ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071083015",
"telephone_number": "973-623-1876",
"fax_number": "973-623-2260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANATRA",
"first_name": "DINESH",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-01",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RS00293500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4325702",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.