Individual provider Active NPI

Dinesh Ganatra

  • Pharmacist
  • Newark, NJ
National Provider Identifier
1851669154
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RS00293500 Issued in NJ
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

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4325702MedicaidNJ

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

LicenseStateTypeSpecialty
28RS00293500NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
RMN Inc Past Accepting new patients
RMN Inc Past Accepting new patients

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.

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.

Verify at the official NPI Registry.