Michael R. Ganon, D.O.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

25MB05783900 Issued in NJ

Practice address

179 High St Ste 101
Newton, NJ 07860-1010

Phone

(973) 862-4297

Fax

(973) 327-7760

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Gen-Tel Medicine, LLC

  • Health Service Clinic/Center
  • Newton, NJ
  • NPI 1588298962
  NPD Authorized official
• Genesis Addiction and Behavioral Medicine, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Newton, NJ
  • NPI 1487141883
  NPD Authorized official
• William R. Collini, M.D., P.a.

  • Specialist
  • Newton, NJ
  • NPI 1144426602
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1992758007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 HIGH ST STE 101",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601010",
            "telephone_number": "973-862-4297",
            "fax_number": "973-327-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 HIGH ST STE 101",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601010",
            "telephone_number": "973-862-4297",
            "fax_number": "973-327-7760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Plainsboro Rd",
            "address_purpose": "LOCATION",
            "city": "Plainsboro",
            "state": "NJ",
            "postal_code": "085361913",
            "country_code": "US",
            "telephone_number": "609-853-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANON",
        "first_name": "MICHAEL",
        "middle_name": "R.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MB57839",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NJ",
            "license": "25MB05783900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Gabra, DO
• Melissa Gaffney, OTR/L
• Warren L. Galeos, M.D.
• Kevin P Gallagher, D.C.
• Giovanni G. Gallara, PT
• Jose R Garces
• April Garcia
• Garden State Detox LLC
• Mark Gardner, PHARMD
• Rakesh K Garg, M.D.

• Addiction Medicine (Family Medicine) Physician in Newton, NJ
• Providers in Newton, NJ by specialty
• Addiction Medicine (Family Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.