Active NPI
Juan Carlos Garcia, M.D.
- Plastic and Reconstructive Surgery Physician
- Glens Falls, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 230363-1
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 21.33 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 71.09
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230363-1 | NY | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juan Carlos Garcia, PLLC | Specialist | Current | Accepting new patients |
| Samra Plastic and Reconstructive Surgery LLC | Specialist | Past | 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.
-
- Specialist
- Glens Falls, NY
- NPI 1972622918
-
- Specialist
- Holmdel, NJ
- NPI 1508804493
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.