Ganchi Plastic Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GANCHI PLASTIC SURGERY CENTER LLC

Practice address

246 Hamburg Tpke Ste 307
Wayne, NJ 07470-2161

Phone

(973) 942-6600

Fax

(973) 595-5002

NPI assigned

Apr 11, 2020

Last updated

Apr 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Parham Ganchi, PHD, MDNPI 1972570240

Title

Medical Director

Phone

(973) 942-6600

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Parham Amir Ganchi, PHD, MD

  • Plastic Surgery Physician
  • Wayne, NJ
  • NPI 1972570240
  NPD (past) Authorized official

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

{
    "created_epoch": "1586563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586563200000",
    "number": "1063031862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 HAMBURG TPKE STE 307",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702161",
            "telephone_number": "973-942-6600",
            "fax_number": "973-595-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 HAMBURG TPKE STE 307",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702161",
            "telephone_number": "973-942-6600",
            "fax_number": "973-595-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANCHI PLASTIC SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-11",
        "last_updated": "2020-04-11",
        "certification_date": "2020-04-11",
        "status": "A",
        "authorized_official_last_name": "GANCHI",
        "authorized_official_first_name": "PARHAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "973-942-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Cristina Fuentes
• Functionpro Rehab Services LLC
• Rosemary Furtek, M.A., C.C.C.
• Peter Gad, PHARMD
• Amanda Gallagher, DPM
• Ganchi Plastic Surgery PA
• Parham Amir Ganchi, PHD, MD
• Joseph Gani
• Erica L. Garbarini, PT
• Andy Humberto Garcia, LCSW

• Ambulatory Surgical Clinic/Center in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.