Suhas Ganguli, MD - Medicare Pediatrics in Neptune City, NJ

  1. Home
  2. Pediatrics
  3. NJ
  4. Neptune City
Suhas Ganguli, MD is a medicare enrolled "Pediatrics - Pediatric Rheumatology" physician in Neptune City, New Jersey. His current practice location is 19 Davis Ave Fl 5, Neptune City, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 755-5500.

Suhas Ganguli is licensed to practice in New Jersey (license number 25MA11379800) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669862462.

Contact Information

Suhas Ganguli, MD
19 Davis Ave Fl 5,
Neptune City, NJ 07753-4488
(732) 755-5500
Not Available

Map and Direction




Physician's Profile

Full NameSuhas Ganguli
GenderMale
SpecialityPediatrics - Pediatric Rheumatology
Location19 Davis Ave Fl 5, Neptune City, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669862462
  • Provider Enumeration Date: 01/31/2015
  • Last Update Date: 08/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2466700323
  • Enrollment ID: I20180808003718

Medical Identifiers

Medical identifiers for Suhas Ganguli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669862462NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal Medicine - Rheumatology 68801 (Wisconsin)Secondary
208000000XPediatrics 68801 (Wisconsin)Secondary
2080P0216XPediatrics - Pediatric Rheumatology 25MA11379800 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Suhas Ganguli allows following entities to bill medicare on his behalf.
Entity NameMarshfield Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590
Entity NameMchs Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Suhas Ganguli is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Suhas Ganguli, MD
19 Davis Ave Fl 5,
Neptune City, NJ 07753-4488

Ph: (732) 775-5500		Suhas Ganguli, MD
19 Davis Ave Fl 5,
Neptune City, NJ 07753-4488

Ph: (732) 755-5500

Reviews and Comments


Pediatrics Doctors in Neptune City, NJ


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.