Eugene C. Carroccia, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MA29961 Issued in NJ

Practice address

8512 Ventnor Ave
Margate City, NJ 08402-2500

Phone

(609) 822-8200

Fax

(609) 822-8287

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1336279587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8512 VENTNOR AVE",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084022500",
            "telephone_number": "609-822-8200",
            "fax_number": "609-822-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8512 VENTNOR AVE",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084022500",
            "telephone_number": "609-822-8200",
            "fax_number": "609-822-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROCCIA",
        "first_name": "EUGENE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "MA29961",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "NJ",
            "license": "MA29961",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NJ",
            "license": "MA29961",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "MA29961",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2894700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Body Architects Inc.
• Sarah Genevieve Bonaffini, D.O.
• Bridget a McLaughlin DMD LLC
• Glenn R. Budnick, M.D.
• Anthony Cappuccio
• Jessica L Carroll, PA-C
• Michael J Caruso, DO
• Bernard Samuel Casel, MD
• Kelley E Cerchione, OD
• City of Margate City

• Plastic Surgery Physician in Margate City, NJ
• Providers in Margate City, NJ by specialty
• Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.