Individual provider Active NPI

Juan Carlos Garcia, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Glens Falls, NY
National Provider Identifier
1376586735
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
230363-1 Issued in 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
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 230363 NY
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 230363-1 NY
Plastic and Reconstructive Surgery Physician 2086S0122X 230363-1 NY Primary

Addresses

Primary practice location

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

Mailing address

102 Park St
Suite 202, PO Box 787
Glens Falls, NY 12801-4449
Phone (518) 793-0475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040312000723 NY Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 1557268505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
21.33 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
230363-1NYMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Juan Carlos Garcia, PLLC Specialist CurrentSince Jan 16, 2006 Accepting new patients
Samra Plastic and Reconstructive Surgery LLC Specialist PastSince Feb 8, 2019 Accepting new patients

Locations

102 Park St
Ste 202
Glens Falls, NY 12801
Phone (518) 761-2347

15 E Washington St
Glens Falls, NY 12801
Phone (518) 761-2020

15 E Washington St
Ste 3
Glens Falls, NY 12801

46 Elm St
Glens Falls, NY 12801
Phone (518) 793-9820

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.