Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ganesh Ram, AGPCNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1023524816

Mr. Ganesh Ram, AGPCNP-BC is a Nurse Practitioner in Brooklyn, New York. Qualified in 2017, 9 years ago. Practices with Wyckoff Professional Medical Services PC, a 155-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
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Practice location Address checks out

374 Stockholm St
Brooklyn, NY 11237-4006
Phone: (718) 963-7272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F308409-1 (NY)

Record details

NPI number1023524816
Entity typeIndividual (Type 1)
GenderMale
Credentials AGPCNP-BC
Sole proprietorYes
NPI enumeratedDecember 16, 2017
Last updated in NPPESDecember 16, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Wyckoff Professional Medical Services Pc — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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