Organization Active NPI

Ganguly Associates MD PC

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1871997924
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
147280 Issued in NY
Legal business name
GANGULY ASSOCIATES MD PC
Practice address
140 Benchley PL FRNT 1
Bronx, NY 10475-3502
Phone
(718) 379-1800
Fax
(718) 320-0749
NPI assigned
Oct 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Rakhi Ganguly, M.D.,NPI 1649250812
Title
President
Phone
(718) 379-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 147280 NY Primary

Addresses

Primary practice location

140 Benchley PL FRNT 1
Bronx, NY 10475-3502

Mailing address

29 Chicken Valley Rd
Glen Head, NY 11545-2103
Phone (516) 759-1661

Other identifiers 2

IdentifierTypeStateIssuer
00738376MedicaidNY
1649250812OtherNYNPI

National Provider Directory

National Provider Directory

Locations

140 Benchley Pl
Frnt 1
Bronx, NY 10475
Phone (718) 379-1800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1871997924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CHICKEN VALLEY RD",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115452103",
            "telephone_number": "516-759-1661",
            "fax_number": "718-320-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BENCHLEY PL FRNT 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104753502",
            "telephone_number": "718-379-1800",
            "fax_number": "718-320-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANGULY ASSOCIATES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "GANGULY",
        "authorized_official_first_name": "RAKHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-379-1800",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "147280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00738376",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649250812",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.