MAXIMILLIAN PHILLIP GANZ DO
NPI 1144859240
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Merrick, NY

Q: What is Maximillian Ganz's NPI number?

The NPI number for Maximillian Ganz is 1144859240. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Q: What is Maximillian Ganz's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for Maximillian Ganz was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 02, 2020PECOS Enrolled

1728 SUNRISE HWY, MERRICK, NY 11566(516) 279-3352 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 30, 2026, Apr 2, 2020 (2 updates tracked since 2020).

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About Maximillian Phillip Ganz Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXIMILLIAN PHILLIP GANZ DO (NPI 1144859240) is an individual adult reconstructive orthopaedic surgery provider in Merrick, New York, licensed in New York (337988) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2020).

NPPES Registry Identity

NPI1144859240

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameMAXIMILLIAN PHILLIP GANZCredential: DO

Location Address1728 SUNRISE HWYMerrick, NY 11566-3745

Mailing Address1728 Sunrise HwyMerrick, NY 11566-3745

Phone(516) 279-3352

Sole ProprietorNo

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2020

Enumeration DateApril 2, 2020

Last NPPES UpdateJanuary 30, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2026

✔ NPI 1144859240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in NY · 337988

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

1728 SUNRISE HWY, Merrick, NY 11566

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maximillian Phillip Ganz Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204310048

PECOS Enrollment IDI20260319003517

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ASHLEY ELIZABETH LEAK LEVINE PA-C

Physician Assistant