DR. JEREMY GANELES (NPI# 1639581671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639581671 |
| Entity Type | Individual |
| Full Name | DR. JEREMY GANELES |
| Credential | M.D. |
| Practice Address |
222 Station Plz N Suite 509 Mineola NY 11501-3800 |
| Mailing Address |
101 E Olney Avenue Suite 400 Philadelphia PA 19120-2421 |
| Practice Telephone | 5166632381 |
| Practice Fax Number | 5166638796 |
| Mailing Telephone | 2154567000 |
| Mailing Fax Number | 2154565926 |
| Enumeration Date | 2014-05-26 |
| Last Update Date | 2020-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD469509 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
222 STATION PLZ N SUITE 509 |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334876 | Kevin John Curley Jr. | Internal Medicine | 222 Station Plz N, Suite 310, Mineola, NY 11501-3808 | 2005-05-27 |
| 1962024307 | Mohamed Moussa | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Mineola, NY 11501-3800 | 2020-05-08 |
| 1588285399 | Mitchell Pawlak | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Mineola, NY 11501-3800 | 2020-05-04 |
| 1295355691 | Lauren Bellavia | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Mineola, NY 11501-3800 | 2020-04-26 |
| 1821618554 | Alyssa Sherwill | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Mineola, NY 11501-3800 | 2020-04-22 |
| 1578121257 | Allison Ariniello | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Mineola, NY 11501-3800 | 2019-05-29 |
| 1376109397 | Joaquin Alejandro Cagliani | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Ste 300, Mineola, NY 11501-3893 | 2019-05-15 |
| 1013470459 | Anuj A Patel | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Mineola, NY 11501-3800 | 2019-04-11 |
| 1063974236 | Christine Nwaiser | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Mineola, NY 11501-3800 | 2019-04-04 |
| 1194208819 | Judi Mary Thomas | Physician Assistant | 222 Station Plz N, Mineola, NY 11501-3800 | 2018-09-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528334877 | Rita Gidwaney | Radiology | 305 Demott Street, Mineola, NY 11501-3704 | 2012-03-30 |
| 1366734642 | Corinne C Liu | Radiology | 120 Mineola Blvd Ste 10, Mineola, NY 11501-4064 | 2011-05-05 |
| 1013142348 | Michael Dimitrios Karachalios | Radiology | 140 Old Country Rd, Apt.# 154, Mineola, NY 11501-4303 | 2009-05-15 |
| 1609052240 | David I Winger | Radiology | Winthrop-univesity Hospital, 259 First Street, Mineola, NY 11501 | 2008-01-14 |
| 1568489433 | Old Country Road Imaging and Diagnostics | Radiology | 184 Old Country Rd, Mineola, NY 11501-4200 | 2006-07-16 |
| 1497193387 | Jeffrey William Streb | Radiology | 222 Station Plz N Ste 509, Department of Medicine, Winthrop University Hospital, Mineola, NY 11501-3893 | 2013-06-12 |
| 1770888158 | Ayman Sawas | Radiology | 222 Station Plz N, Suit 310, Mineola, NY 11501-3800 | 2011-01-17 |
| 1992023873 | Nicholas A Georgiou | Radiology | 259 First Street, Winthrop-university Hospital (radiology Department), Mineola, NY 11501 | 2010-05-17 |
| 1891998670 | Andrew Yun Choi | Radiology | 259 1st St, Radiology Department, Mineola, NY 11501-3957 | 2007-06-07 |
| 1013138825 | Joseph Patrick Mazzie | Radiology | 120 Mineola Blvd, Suite 10 Lower Level, Mineola, NY 11501-4073 | 2007-05-01 |
| Find all providers in MINEOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.