Guillermo Garcia MD PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

25MA02221500 Issued in NJ

Legal business name

GUILLERMO GARCIA MD PA

Practice address

150 Avenue C
Bayonne, NJ 07002-2400

Phone

(201) 823-2700

Fax

(201) 823-2233

NPI assigned

Aug 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Guillermo Garcia, M.D.

Title

President

Phone

(201) 823-2700

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1326471830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022400",
            "telephone_number": "201-823-2700",
            "fax_number": "201-823-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022400",
            "telephone_number": "201-823-2700",
            "fax_number": "201-823-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLERMO GARCIA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-823-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA02221500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164007",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.