Active NPIIndividual providerSole proprietor

Shridarr Ganesan

Internal Medicine, Medical Oncology in New Brunswick, New Jersey

NPI Number1619916566
Practice location
195 Little Albany St, New Brunswick, NJ 08901-1914
Fax
732-235-7355
Last updated
March 12, 2025

Shridarr Ganesan is an Internal Medicine, Medical Oncology based in New Brunswick, NJ. Shridarr Ganesan practices in New Brunswick, NJ. The NPI Number for Shridarr Ganesan is 1619916566 and holds a License No. 25MA078710 (NJ). The current practice location address for Shridarr Ganesan is 195 Little Albany St, New Brunswick, NJ 08901-1914 and can be reached out via phone at 732-235-6777 and via fax at 732-235-7355.

Provider Profile Details

NPI Number
1619916566
Provider Name
Shridarr Ganesan
Provider Entity Type
Individual
Gender
Male
Address
195 Little Albany St, New Brunswick, NJ 08901-1914
Phone Number
732-235-6777
Fax Number
732-235-7355
Primary Taxonomy
Internal Medicine, Medical Oncology · 207RX0202X
Sole Proprietor
Yes
Provider Enumeration Date
June 6, 2006
Last Update Date
March 12, 2025
Certification Date
March 12, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
195 Little Albany St
New Brunswick, NJ 08901-1914
Zip
08901-1914
Phone Number
732-235-6777
Fax Number
732-235-7355
New Brunswick, NJ 08901Get directions →

Provider Business Mailing Address Details

Address
66 West Gilbert St
Red Bank, NJ 07701
City
Red Bank
State
NJ
Zip
07701
Phone Number
732-212-0051
Fax Number
732-212-0713

License Information

License Number (1)
25MA078710
License State (1)
NJ
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
25MA078710
License State (2)
NJ
Taxonomy (2)
Internal Medicine, Medical Oncology · 207RX0202X
License Number (3)
334532
License State (3)
NY
Taxonomy (3)
Internal Medicine, Medical Oncology · 207RX0202X · 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 Shridarr Ganesan?

The NPI number of Shridarr Ganesan is 1619916566. It was assigned on June 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Shridarr Ganesan?

Shridarr Ganesan is registered under the primary taxonomy Internal Medicine, Medical Oncology (code 207RX0202X), licensed in NJ under license number 25MA078710.

Where does Shridarr Ganesan practice?

The practice location is 195 Little Albany St, New Brunswick, NJ 08901-1914. The office can be reached at 732-235-6777 (phone) or 732-235-7355 (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 1619916566 directly on the NPPES registry website.

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