Organization Active NPI

Eugene C. Carroccia, M.D.,P.a.

  • Plastic Surgery Physician
  • Margate City, NJ
National Provider Identifier
1679896542
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
EUGENE C. CARROCCIA, M.D.,P.A.
Practice address
8512 Ventnor Ave
Margate City, NJ 08402-2500
Phone
(609) 822-8200
Fax
(609) 822-8287
NPI assigned
Mar 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Dr. Eugene C. Carroccia, M.D.
Title
Owner
Phone
(609) 822-8200

Specialties & licenses 1

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

Addresses

Primary practice location

8512 Ventnor Ave
Margate City, NJ 08402-2500

Mailing address

8512 Ventnor Ave
Margate City, NJ 08402-2500
Phone (609) 822-8200

Other identifiers 1

IdentifierTypeStateIssuer
2894700MedicaidNJ

National Provider Directory

National Provider Directory

Locations

8512 Ventnor Ave
Margate City, NJ 08402
Phone (609) 225-9625

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1679896542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8512 VENTNOR AVE",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084022500",
            "telephone_number": "609-822-8200",
            "fax_number": "609-822-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8512 VENTNOR AVE",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084022500",
            "telephone_number": "609-822-8200",
            "fax_number": "609-822-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE C. CARROCCIA, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "CARROCCIA",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-822-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2894700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.