Justin R. Ganz (NPI# 1073909313, PAC ID# 6608110622) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1073909313 |
| PAC ID by PECOS | 6608110622 |
| Professional Enrollment ID | I20190729000628 |
| Full Name | Justin R. Ganz |
| Organization Legal Name | SUFFOLK ANESTHESIA SERVICES PLLC |
| Address |
471 Montauk Hwy West Islip NY 11795-4414 |
| Phone Number | 6318491050 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2015 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 2567609464 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330332 | CHSLI ST JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4295 Hempstead Tpke, Bethpage, NY 11714-5713 | 5165796000 | NEW YORK ANESTHESIA ASSOCIATES P.C. |
| 471 Montauk Hwy, West Islip, NY 11795-4414 | 6318491050 | SUFFOLK ANESTHESIA SERVICES PLLC |
| Organization Legal Name | SUFFOLK ANESTHESIA SERVICES PLLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew G Watling | Anesthesiology | Suffolk Anesthesia Services Pllc | 2017 Deer Park Ave, Deer Park, NY 11729-2727 |
| Anirban Kanjilal | Anesthesiology | Suffolk Anesthesia Services Pllc | 471 Montauk Hwy, West Islip, NY 11795-4414 |
| Bill N Tsu | Anesthesiology | Suffolk Anesthesia Services Pllc | 2017 Deer Park Ave, Deer Park, NY 11729-2727 |
| Anupama C Masand | Anesthesiology | Suffolk Anesthesia Services Pllc | 2017 Deer Park Ave, Deer Park, NY 11729-2727 |
| Edward C Gross | Anesthesiology | Suffolk Anesthesia Services Pllc | 2017 Deer Park Ave, Deer Park, NY 11729-2727 |
| Bryan R Tischenkel | Anesthesiology | Suffolk Anesthesia Services Pllc | 471 Montauk Hwy, West Islip, NY 11795-4414 |
| Aditya Marwaha | Anesthesiology | Suffolk Anesthesia Services Pllc | 2017 Deer Park Ave, Deer Park, NY 11729-2727 |
| Karen M Cox | Anesthesiology | Suffolk Anesthesia Services Pllc | 471 Montauk Hwy, West Islip, NY 11795-4414 |
| Kiwon Song | Anesthesiology | Suffolk Anesthesia Services Pllc | 2017 Deer Park Ave, Deer Park, NY 11729-2727 |
| Street Address |
471 MONTAUK HWY |
| City | WEST ISLIP |
| State | NY |
| Zip | 11795-4414 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anirban Kanjilal | Anesthesiology | Suffolk Anesthesia Services Pllc | 471 Montauk Hwy, West Islip, NY 11795-4414 |
| Bryan R Tischenkel | Anesthesiology | Suffolk Anesthesia Services Pllc | 471 Montauk Hwy, West Islip, NY 11795-4414 |
| Karen M Cox | Anesthesiology | Suffolk Anesthesia Services Pllc | 471 Montauk Hwy, West Islip, NY 11795-4414 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick J Mccarthy | Physical Therapy | Island Shore Physical Therapy, LLP | 250 Higbie Lane, West Islip, NY 11795 |
| Hassan Hito | Internal Medicine | 1111 Mantauk Hwy, 3rd Floor, West Islip, NY 11795 | |
| Anna G Gorski-piaszczyk | Internal Medicine | 510 Montauk Hwy-ste D, West Islip, NY 11795 | |
| Edward H Weir | Chiropractic | 270 W 4th St, West Islip, NY 11795-1832 | |
| Justin A Minerva | Physical Therapy | 280 Higbie Ln, West Islip, NY 11795-2822 | |
| Ralph M Turri | Podiatry | West Islip Foot Care PC | 212 Higbie Ln, Suite 2, West Islip, NY 11795-2833 |
| Nicolle D Alvarez | Physician Assistant | North Shore Lij Urgent Care PC | 434 Union Blvd, West Islip, NY 11795-3104 |
| Charlene Persaud | Physician Assistant | North Shore Lij Urgent Care PC | 434 Union Blvd, West Islip, NY 11795-3104 |
| John W Hsu | General Surgery | Great South Bay Surgical Associates and Vascular Lab, LLP | 580 Union Blvd, West Islip, NY 11795-3105 |
| Thomas J Harrison | Nurse Practitioner | St Francis Hospital | 540 Union Blvd, West Islip, NY 11795-3105 |
| Find all physicians in zip 11795 | |||
| City | WEST ISLIP |
| Zip Code | 11795 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | WEST ISLIP + ANESTHESIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.