Active NPI
Samantha Ganz, M.D
- Emergency Medicine Physician
- Jamaica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 302005
- Practice address
- 82-68 164TH Street
Jamaica, NY 11432 - Phone
- (718) 883-3070
- NPI assigned
- Apr 18, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 302005 | NY | Primary |
Addresses
Primary practice location
82-68 164TH Street
Jamaica, NY 11432
Mailing address
82-68 164TH St
Jamaica, NY 11432-1121
Phone (718) 883-3070
Other practice location 1
1 Gustave L Levy Pl
Box 1149
New York, NY 10029-6504
Phone (212) 824-8069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302005 | NY | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Port Emergency Medical Services, P.C. | Emergency Medicine | Current | Accepting new patients |
| Siena Emergency Medical Services, P.C. | Emergency Medicine | Current | Accepting new patients |
| Island Emergency Medical Services, P.C. | Emergency Medicine | Current | Accepting new patients |
Locations
12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Far Rockaway, NY
- NPI 1639160385
-
- Emergency Medicine Physician
- Port Jefferson, NY
- NPI 1912988395
-
- Emergency Medicine Physician
- Smithtown, NY
- NPI 1356507099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670630400000",
"number": "1871027672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82-68 164TH ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114321121",
"telephone_number": "718-883-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82-68 164TH STREET",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11432",
"telephone_number": "718-883-3070"
}
],
"practiceLocations": [
{
"address_1": "1 Gustave L Levy Pl",
"address_2": "Box 1149",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100296504",
"country_code": "US",
"telephone_number": "212-824-8069",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GANZ",
"first_name": "SAMANTHA",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-18",
"last_updated": "2022-12-10",
"certification_date": "2022-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "302005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.