MAHMOUD ABU-GHANAM PHYSICIAN, P.C.
NPI 1669181780
Anesthesiology - Pain Medicine in Liberty, NY

Q: What is Mahmoud Abu-Ghanam Physician, P.C.'s NPI number?

The NPI number for Mahmoud Abu-Ghanam Physician, P.C. is 1669181780. It was assigned to this organization in the NPPES registry on November 17, 2022.

Q: What is Mahmoud Abu-Ghanam Physician, P.C.'s specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Active since November 17, 2022CLIA 33D2278353 · Waiver

1987 STATE ROUTE 52 STE 10, LIBERTY, NY 12754(845) 292-0078(845) 292-3244 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mahmoud Abu-ghanam Physician, P.c. NPPES

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

MAHMOUD ABU-GHANAM PHYSICIAN, P.C. (NPI 1669181780) is a healthcare organization registered as a pain medicine in Liberty, New York and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through March 15, 2027 and lists Mahmoud Abu Ghanam, Owner, as its authorized official.

NPPES Registry Identity

NPI1669181780

Entity TypeOrganization

Primary Taxonomy207LP2900X

Legal Business NameMAHMOUD ABU-GHANAM PHYSICIAN, P.C.

Location Address1987 STATE ROUTE 52 STE 10Liberty, NY 12754-8317

Mailing AddressPo Box 190Ferndale, NY 12734-0190 · (845) 292-0078 · Fax (845) 292-3244

Phone(845) 292-0078

Fax(845) 292-3244

Organization SubpartNo

Authorized OfficialMahmoud Abu GhanamOwner · (845) 707-3092

Enumeration DateNovember 17, 2022

Last NPPES UpdateJanuary 16, 2025

NPPES CertifiedJanuary 16, 2025

✔ NPI 1669181780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

1987 STATE ROUTE 52 STE 10, Liberty, NY 12754

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2278353

Mahmoud Abu-Ghanam, Physician PC · Liberty, NY

Active · expires Mar 15, 2027

CLIA Number33D2278353

Laboratory TypePhysician Office

Certificate Effective DateMarch 16, 2025

Certificate Expiration DateMarch 15, 2027

Laboratory DirectorDr. Mahmoud A. Abu-Ghanam

Laboratory Phone(845) 292-0079

Laboratory LocationMahmoud Abu-Ghanam, Physician PC1987 State Route 52 Suite 10, Liberty, NY 12754

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. MAHMOUD ABU GHANAM MD

Pain Medicine (Interventional Pain Medicine)

1987 STATE ROUTE 52 STE 10
LIBERTY, NY 12754

Sullivan County (845) 292-0078

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mahmoud Abu-Ghanam Physician, P.C.'s NPI number?

The NPI number for Mahmoud Abu-Ghanam Physician, P.C. is 1669181780. It was assigned to this organization in the NPPES registry on November 17, 2022.

Where is Mahmoud Abu-Ghanam Physician, P.C. located?

Mahmoud Abu-Ghanam Physician, P.C. is located at 1987 State Route 52 Ste 10, Liberty, NY 12754. The listed phone number is (845) 292-0078.

What is Mahmoud Abu-Ghanam Physician, P.C.'s specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Does Mahmoud Abu-Ghanam Physician, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2278353) is associated with this NPI, valid through March 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mahmoud Abu-Ghanam Physician, P.C. was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.