Roland Anthony Ghanem, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA02477700 Issued in NJ

Practice address

362 Union Blvd
Totowa, NJ 07512-2554

Phone

(973) 790-6707

Fax

(973) 790-1255

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Roland a Ghanem,MD LLC

  • Specialist
  • Totowa, NJ
  • NPI 1710277421
  NPD (past) Authorized official
• Cindy Chang,MD

  • Allergy & Immunology Physician
  • Totowa, NJ
  • NPI 1174776256
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952405482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122554",
            "telephone_number": "973-790-6707",
            "fax_number": "973-790-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122554",
            "telephone_number": "973-790-6707",
            "fax_number": "973-790-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANEM",
        "first_name": "ROLAND",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA02477700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2746905",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana L Galvis, DDS
• Christine M Gaul, DPT
• Kelly Gazzo, DPT
• Anthony Gencarelli, D.C.
• Bettina George, M.D.
• Giliberti Eye and Laser Center P C
• Francesca Marie Giliberti, M.D.
• Orazio L Giliberti, MD
• Natalie Gillett, MS, RD
• Douglas Glazer, OD

• Specialist in Totowa, NJ
• Providers in Totowa, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.