Active NPIIndividual provider

Dr. Himabala Ghanta

Colon & Rectal Surgery in Englewood, New Jersey

NPI Number1356553168
Practice location
200 Engle St Ste 14, Englewood, NJ 07631-2417
Fax
201-567-8033
Last updated
February 27, 2025

Himabala Ghanta is a Colon & Rectal Surgery based in Englewood, NJ. Himabala Ghanta practices in Englewood, NJ. The NPI Number for Himabala Ghanta is 1356553168 and holds a License No. 25MA10009900 (NJ). The current practice location address for Himabala Ghanta is 200 Engle St Ste 14, Englewood, NJ 07631-2417 and can be reached out via phone at 201-567-7615 and via fax at 201-567-8033.

Provider Profile Details

NPI Number
1356553168
Provider Name
Himabala Ghanta
Provider Entity Type
Individual
Gender
Female
Address
200 Engle St Ste 14, Englewood, NJ 07631-2417
Phone Number
201-567-7615
Fax Number
201-567-8033
Primary Taxonomy
Colon & Rectal Surgery · 208C00000X
Sole Proprietor
No
Provider Enumeration Date
May 4, 2007
Last Update Date
February 27, 2025
Certification Date
February 27, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Engle St Ste 14
Englewood, NJ 07631-2417
Zip
07631-2417
Phone Number
201-567-7615
Fax Number
201-567-8033
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
3 University Plz Ste 205
Hackensack, NJ 07601-6208
City
Hackensack
State
NJ
Zip
07601-6208
Phone Number
201-833-3599
Fax Number
201-227-6207

License Information

License Number
25MA10009900
License State
NJ
Taxonomy
Colon & Rectal Surgery · 208C00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Himabala Ghanta?

The NPI number of Dr. Himabala Ghanta is 1356553168. It was assigned on May 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Himabala Ghanta?

Dr. Himabala Ghanta is registered under the primary taxonomy Colon & Rectal Surgery (code 208C00000X), licensed in NJ under license number 25MA10009900.

Where does Dr. Himabala Ghanta practice?

The practice location is 200 Engle St Ste 14, Englewood, NJ 07631-2417. The office can be reached at 201-567-7615 (phone) or 201-567-8033 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356553168 directly on the NPPES registry website.

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