Active NPIIndividual providerSole proprietor

Dr. Bryan A Ghanny, MD

Pediatrics in Newark, New Jersey

NPI Number1639442619
Practice location
200 Washington St, Newark, NJ 07102-2921
Fax
—
Last updated
February 23, 2023

Bryan Abdul Ghanny is a Pediatrics based in Newark, NJ. Bryan Abdul Ghanny practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Bryan Abdul Ghanny is 1639442619 and holds a License No. 25MA09804900 (NJ). The current practice location address for Bryan Abdul Ghanny is 200 Washington St, Newark, NJ 07102-2921 and can be reached out via phone at 973-622-3890.

Provider Profile Details

NPI Number
1639442619
Provider Name
Bryan Abdul Ghanny
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Washington St, Newark, NJ 07102-2921
Phone Number
973-622-3890
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
February 21, 2012
Last Update Date
February 23, 2023
Certification Date
February 23, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Washington St
Newark, NJ 07102-2921
City
Newark
Zip
07102-2921
Phone Number
973-622-3890
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
2 Calais Pl
Montville, NJ 07045-9551
City
Montville
State
NJ
Zip
07045-9551
Phone Number
973-229-4288

License Information

License Number (2)
25MA09804900
License State (2)
NJ
Taxonomy (2)
Pediatrics · 208000000X · 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. Bryan A Ghanny, MD?

The NPI number of Dr. Bryan A Ghanny, MD is 1639442619. It was assigned on February 21, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Bryan A Ghanny, MD?

Dr. Bryan A Ghanny, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA09804900.

Where does Dr. Bryan A Ghanny, MD practice?

The practice location is 200 Washington St, Newark, NJ 07102-2921. The office can be reached at 973-622-3890 (phone).

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 1639442619 directly on the NPPES registry website.

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