Individual provider Active NPI

Amanda Lynn Ganza, M.D.

  • Obstetrics & Gynecology Physician
  • Hackensack, NJ
National Provider Identifier
1972845055
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA10053000 Issued in NJ
Practice address
20 Prospect Ave Ste 805
Hackensack, NJ 07601-1974
Phone
(201) 968-1800
Fax
(201) 968-1814
NPI assigned
Mar 26, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA10053000 NJ Primary

Addresses

Primary practice location

20 Prospect Ave Ste 805
Hackensack, NJ 07601-1974

Mailing address

20 Prospect Ave Ste 805
Hackensack, NJ 07601-1974
Phone (201) 968-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170718003044 NJ Practitioner - Obstetrics/Gynecology 3577833912 Reassigns benefits to 3 organizations
I20191029002031 NY Practitioner - Obstetrics/Gynecology 3577833912 Reassigns benefits to 1 organization
I20240612000103 PA Practitioner - Obstetrics/Gynecology 3577833912 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers New Jersey Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB Hospitalist Services New Jersey PAGroup PAC ID 3476859182, 45 clinicians

Practice addresses (Care Compare)

1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone (800) 967-2289

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10053000NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc Single Specialty Current Accepting new patients
Obhg Pennsylvania PC Single Specialty CurrentSince May 4, 2024 Accepting new patients
Community Health Care, Inc. CurrentSince May 15, 2020 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Single Specialty CurrentSince Jul 1, 2017 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Single Specialty CurrentSince Jul 1, 2017 Accepting new patients
OBGYN Hospitalist Medical Services of New York, P.C. Single Specialty CurrentSince Sep 14, 2019 Accepting new patients
Community Health Care, Inc. Single Specialty CurrentSince May 15, 2020 Accepting new patients
St. Luke's Physician Group, Inc. Single Specialty Current Accepting new patients
St Luke's Physician Group Inc Single Specialty CurrentSince May 1, 2024 Accepting new patients
St. Luke's Physician Group Inc. Single Specialty CurrentSince May 1, 2024 Accepting new patients
OB Hospitalist Services New Jersey, PA Single Specialty CurrentSince Nov 4, 2019 Accepting new patients
Star Community Health, Inc CurrentSince May 19, 2024 Accepting new patients
St Lukes Hospital-Anderson Campus Past Accepting new patients
Prime Healthcare Services - Saint Clare's LLC Past Accepting new patients

Locations

30 N Pearl St
Bridgeton, NJ 08302

335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755

20 Prospect Ave
Hackensack, NJ 07601
Phone (201) 996-2816

20 Prospect Ave
Ste 805
Hackensack, NJ 07601
Phone (201) 968-1800

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

700 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

255 Lafayette Ave
#59
Suffern, NY 10901

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

1872 St Lukes Blvd
Easton, PA 18045
Phone (484) 503-1200

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 603-5203

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 14

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 14

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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972845055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE STE 805",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011974",
            "telephone_number": "201-968-1800",
            "fax_number": "201-968-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE STE 805",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011974",
            "telephone_number": "201-968-1800",
            "fax_number": "201-968-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANZA",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA10053000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.