Elizabeth Ganopolsky, MD. PA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA06944500 Issued in NJ

Legal business name

ELIZABETH GANOPOLSKY, MD. PA

Practice address

40 Engle St
Englewood, NJ 07631-2905

Phone

(201) 567-0522

Fax

(201) 567-5955

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Ganopolsky, M.D.

Title

M.D.

Phone

(201) 567-0522

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1972635191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312905",
            "telephone_number": "201-567-0522",
            "fax_number": "201-567-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312905",
            "telephone_number": "201-567-0522",
            "fax_number": "201-567-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH GANOPOLSKY, MD. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "GANOPOLSKY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "201-567-0522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA06944500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8082502",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.