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

Individual provider Physician Assistant · NPI 1033954029

Mordecai Ganz, PA-C is a Physician Assistant in Far Rockaway, New York. Qualified in 2024, 2 years ago. Practices with Lakewood Resource and Referral Center Inc, a 107-clinician group. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1334 Caffrey Ave Apt 2J
Far Rockaway, NY 11691-5126
Phone: (848) 525-3911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NY)

Record details

NPI number1033954029
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 1, 2024
Last updated in NPPESJuly 1, 2024
Certification dateJune 30, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Lakewood Resource And Referral Center Inc — 107 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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