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

Dr. Himabala Ghanta

Individual provider Colon & Rectal Surgery Physician · NPI 1356553168

Dr. Himabala Ghanta is a Colorectal Surgery (Proctology) in Englewood, New Jersey. Qualified in 2002, 24 years ago. Practices with Excelcare Medical Associates PA, a 199-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
24
Licensed in
NJ
In the registry since
2007

Practice location Address checks out

200 Engle St Ste 14
Englewood, NJ 07631-2417
Phone: (201) 567-7615
Fax: (201) 567-8033
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 25MA10009900 (NJ)

Record details

NPI number1356553168
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 4, 2007
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025
Mailing address3 University Plz Ste 205, Hackensack, NJ 07601-6208

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Excelcare Medical Associates Pa — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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