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JASON C GANZ MD NPI 1215950910


NPI Information

NPI: 1215950910
Provider Name: JASON C GANZ, MD
Classification: Plastic Surgery - 208200000X
Entity Type: Individual

PECOS Registration: Yes

Address:
24 RESEARCH WAY
EAST SETAUKET, NY
ZIP 11733
Phone: (631) 444-4666
Get Directions

Jason C Ganz, MD is a plastic surgery in East Setauket, NY with 26 years of experience. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. Jason C Ganz, MD NPI is 1215950910. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK UNIVERSITY MEDICAL COLLEGE - NLG
Graduation Year:1998

The provider's business location address is:

24 RESEARCH WAY
EAST SETAUKET, NY
ZIP 11733-487
Phone: (631) 444-4666

The NPI 1215950910 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 6/23/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12082S0105XPlastic SurgerySurgery of the Hand60-233290NEW YORKNo
2208200000XPlastic Surgery60-233290NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GA4164713MEDICARE PINOHIO
2000000221046OTHEROHIOUNISON
3I25723MEDICARE UPIN
4GA4164712MEDICARE PINOHIO
5743421OTHEROHIOBUCKEYE MEDICAID
67720723OTHEROHIOAETNA
7P00372950OTHEROHIOMEDICARE RAILROAD
8000000503657OTHEROHIOANTHEM
9363543OTHEROHIOWELLCARE MEDICAID
102595615MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.