Garo Charles Avetian, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MB08454100 Issued in NJ

Practice address

1919 Greentree Rd
Suite a
Cherry Hill, NJ 08003-1115

Phone

(856) 761-8100

Fax

(856) 761-8107

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Main Line Medical Group LTD

  • Family Medicine Physician
  • Narberth, PA
  • NPI 1760415913
  NPD (past)
• Temple Physician Inc.

  • Internal Medicine Physician
  • Feasterville Trevose, PA
  • NPI 1174497366
  NPD (past)
• Temple Physicians Inc

  • Internal Medicine Physician
  • Phila, PA
  • NPI 1639496391
  NPD (past)
• Temple Physicians Inc

  • Family Medicine Physician
  • Flourtown, PA
  • NPI 1952642936
  NPD (past)
• Temple Physicians Inc

  • Internal Medicine Physician
  • Phila, PA
  • NPI 1982680526
  NPD (past)
• Temple Physicians Inc.

  • Advanced Practice Midwife
  • Philadelphia, PA
  • NPI 1669524823
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1013936400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820933",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191820933",
            "telephone_number": "215-926-9022",
            "fax_number": "215-226-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 GREENTREE RD",
            "address_2": "SUITE A",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031115",
            "telephone_number": "856-761-8100",
            "fax_number": "856-761-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVETIAN",
        "first_name": "GARO",
        "middle_name": "CHARLES",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS-007148-L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB08454100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013936400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD4829",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "597586",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Austin
• Thomas George Austin, LCSW
• Amy Avella
• Tavares Avery
• John Paul D Aves, PT
• Avista Healthcare LLC
• Awaken Counseling, LLC
• Noureen Ahmad Awan, PHARM.D.
• Oksana A Ayala, OT
• Julie C Ayres, MD

• Internal Medicine Physician in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.