Organization Active NPI

Ganchi Plastic Surgery PA

  • Plastic Surgery Physician
  • Wayne, NJ
National Provider Identifier
1609183367
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
GANCHI PLASTIC SURGERY PA
Practice address
342 Hamburg Tpke
Suite 202
Wayne, NJ 07470-2162
Phone
(973) 942-6600
NPI assigned
Sep 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Peyman Maghsoudlou
Title
Manager
Phone
(973) 773-2039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

342 Hamburg Tpke
Suite 202
Wayne, NJ 07470-2162

Mailing address

342 Hamburg Tpke
Suite 202
Wayne, NJ 07470-2162

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1609183367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HAMBURG TPKE",
            "address_2": "SUITE 202",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 HAMBURG TPKE",
            "address_2": "SUITE 202",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702162",
            "telephone_number": "973-942-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANCHI PLASTIC SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "MAGHSOUDLOU",
        "authorized_official_first_name": "PEYMAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-773-2039"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.