Individual provider Active NPI

Nader Ganim, M.D.

  • Psychiatry Physician
  • Batavia, NY
National Provider Identifier
1972741056
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME125309 Issued in FL
Practice address
5130 E Main Street Rd Ste 2
Batavia, NY 14020-3444
Phone
(585) 344-1421
NPI assigned
Jan 28, 2009
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 131074191 NY
Psychiatry Physician 2084P0800X ME125309 FL Primary

Addresses

Primary practice location

5130 E Main Street Rd Ste 2
Batavia, NY 14020-3444

Mailing address

598 10TH Ave Apt 4R
New York, NY 10036-3002
Phone (212) 444-2645

Other practice location 1

360 W 43rd St Apt S17D
New York, NY 10036-6495
Phone (212) 444-2645

Other practice location 2

820 Prudential Dr Ste 510
Jacksonville, FL 32207-8207
Phone (904) 376-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141111000960 NY Practitioner - Psychiatry 9133341902 Reassigns benefits to 1 organization
Practice locations: Amityville, NY
I20190208002276 FL Practitioner - Psychiatry 9133341902 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TBJ Behavioral Center LLCGroup PAC ID 4981789823, 15 clinicians
Baptist Behavioral Health LLCGroup PAC ID 7315166394, 120 clinicians

Practice addresses (Care Compare)

6300 Beach Blvd
Jacksonville, FL 32216-2708
Phone (904) 724-9202

800 Prudential Dr
Jacksonville, FL 32207-8202
Phone (904) 376-3800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
131074191NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medication Assisted Recovery Institute, LLC Psychiatry CurrentSince Feb 1, 2022 Accepting new patients
Sma Healthcare Inc CurrentSince Jan 31, 2022 Accepting new patients
Sma Healthcare, Inc CurrentSince Jan 31, 2022 Accepting new patients
Key West Hma Physician Management LLC CurrentSince Aug 1, 2020 Accepting new patients
Sma Healthcare Inc Current Accepting new patients
The Long Island Home CurrentSince Sep 29, 2015 Accepting new patients
TBJ Behavioral Center LLC Psychiatry CurrentSince Feb 5, 2023 Accepting new patients
County of Genesee County Treasurer CurrentSince Feb 9, 2025 Accepting new patients
Hni Medical Services of Florida, LLC Psychiatry CurrentSince Jan 1, 2019 Accepting new patients
The Long Island Home CurrentSince Sep 29, 2015 Accepting new patients
Key West Hma Physician Management, LLC CurrentSince Aug 1, 2020 Accepting new patients
Windmoor Healthcare Inc Psychiatry CurrentSince Mar 7, 2022 Accepting new patients
Ganim MD PLLC Psychiatry Current Accepting new patients
County of Genesee County Treasurer PastSince Feb 9, 2025 Accepting new patients
Southern Baptist Hospital of Florida Inc Past Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

2900 N Military Trl
Ste 241
Boca Raton, FL 33431
Phone (561) 464-4949

5030 Champion Blvd
Ste G11
Boca Raton, FL 33496

5030 Champion Blvd
Ste G11535
Boca Raton, FL 33496

301 Justice Ln
Bunnell, FL 32110
Phone (386) 236-1726

11300 US Highway 19 N
Clearwater, FL 33764
Phone (727) 541-2646

1220 Willis Ave
Daytona Beach, FL 32114
Phone (386) 236-3200

150 Magnolia Ave
Daytona Beach, FL 32114
Phone (386) 236-3215

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

9241 Park Royal Dr
Fort Myers, FL 33908
Phone (239) 985-2700

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

6300 Beach Blvd
Jacksonville, FL 32216
Phone (904) 724-9202

1111 12th St
Ste 104
Key West, FL 33040
Phone (305) 293-1830

5664 SW 60th Ave
Ocala, FL 34474
Phone (352) 291-5555

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

29910 State Road 56
Wesley Chapel, FL 33543
Phone (813) 333-0000

399 County Line Rd
Amityville, NY 11701
Phone (631) 264-0222

400 Sunrise Hwy
Amityville, NY 11701
Phone (631) 264-4000

5130 E Main Street Rd
Ste 2
Batavia, NY 14020
Phone (585) 344-1421

Networks

  • Freedom Health HMO Network

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1972741056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 10TH AVE APT 4R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100363002",
            "telephone_number": "212-444-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 E MAIN STREET RD STE 2",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140203444",
            "telephone_number": "585-344-1421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 W 43rd St Apt S17D",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100366495",
            "country_code": "US",
            "telephone_number": "212-444-2645",
            "fax_number": "212-444-2645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Prudential Dr Ste 510",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078207",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-396-8971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANIM",
        "first_name": "NADER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-28",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "131074191",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME125309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

Verify at the official NPI Registry.