Juan Carlos Garcia, M.D.

Key facts

NPI

1376586735

Entity type

Individual (NPI type 1)

Primary specialty

Plastic and Reconstructive Surgery Physician 2086S0122X

License

230363-1 (NY)

Practice address

102 Park St
Suite 202
Glens Falls, NY 12801-4449

Phone

(518) 793-0475

Fax

(518) 793-6658

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

Yes

Organizations & group practices 2

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.

• Juan Carlos Garcia, PLLC Specialist · Glens Falls, NY · NPI 1972622918
  Medicare reassignment NPD Authorized official NY · SPECIALIST
• Samra Plastic and Reconstructive Surgery LLC Specialist · Holmdel, NJ · NPI 1508804493
  NPD (past) SPECIALIST

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score

21.33 of 100 (individual)

Quality

0

Improvement activities

0

Cost

71.09

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 10, 2024.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1376586735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PARK ST",
            "address_2": "SUITE 202, PO BOX 787",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014449",
            "telephone_number": "518-793-0475",
            "fax_number": "518-793-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PARK ST",
            "address_2": "SUITE 202",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014449",
            "telephone_number": "518-793-0475",
            "fax_number": "518-793-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "230363",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NY",
            "license": "230363-1",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "230363-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02191151",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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