Garry M Carbone MD PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD043165L Issued in PA

Legal business name

GARRY M CARBONE MD PC

Practice address

179 Delaware Ave
Palmerton, PA 18071-1728

Phone

(610) 379-4740

Fax

(610) 379-4745

NPI assigned

Mar 30, 2007

Last updated

Mar 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Garry M Carbone, MDNPI 1578512299

Title

Owner Provider

Phone

(610) 379-4740

Specialties & licenses 4

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Garry M Carbone, MD

  • Nephrology Physician
  • Lehighton, PA
  • NPI 1578512299
  Medicare reassignment NPD Authorized official
• Louis M Rubino, RPH

  • Pharmacist
  • Tamaqua, PA
  • NPI 1720385701
  NPD (past)
• Megan Rubino, PHARMD

  • Community/Retail Pharmacy
  • Tamaqua, PA
  • NPI 1841793569
  NPD (past)
• Paula M Rubino, RPH

  • Pharmacist
  • Tamaqua, PA
  • NPI 1083911069
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1679693857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 DELAWARE AVE",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711728",
            "telephone_number": "610-379-4740",
            "fax_number": "610-379-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 DELAWARE AVE",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711728",
            "telephone_number": "610-379-4740",
            "fax_number": "610-379-4745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2491 Cherry Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Palmerton",
            "state": "PA",
            "postal_code": "180719749",
            "country_code": "US",
            "telephone_number": "610-379-4740",
            "fax_number": "610-379-4745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GARRY M CARBONE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "CARBONE",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "610-379-4740",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD043165L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "110108413",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012379820010",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02867700",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F16780",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "110108413",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "710518",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Rodney Everett, DDS
• Tucker John Everett
• Victoria Fedor, M.A.
• Amy Elizabeth Forte, MPT
• Bonnie Louise Fritz, LPN
• Susan Generose, R.D.
• Rhyan A Goldsmith
• Kelly Ann Gombert, RDN, LDN
• Laura M Gower, PA-C
• Rachel Elizabeth Greene, LSW

• Nephrology Physician in Palmerton, PA
• Providers in Palmerton, PA by specialty
• Nephrology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.