Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Bryan Abdul Ghanny, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639442619

Dr. Bryan Abdul Ghanny, MD is a Student in an Organized Health Care Education/Training Program in Newark, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Washington St
Newark, NJ 07102-2921
Phone: (973) 622-3890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 25MA09804900 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639442619
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 21, 2012
Last updated in NPPESFebruary 23, 2023
Certification dateFebruary 23, 2023
Mailing address2 Calais Pl, Montville, NJ 07045-9551

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