Organization Active NPI

Brett a. Garber, DO, LLC

  • Plastic and Reconstructive Surgery Physician
  • Voorhees, NJ
National Provider Identifier
1912113739
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MB072073 Issued in NJ
Legal business name
BRETT A. GARBER, DO, LLC
Doing business as
Garber Plastic Surgery
Practice address
1605 E Evesham Rd
Suite 201
Voorhees, NJ 08043-1421
Phone
(856) 616-9200
Fax
(856) 616-1100
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Authorized official

Name
Dr. Brett A Garber, D.O.
Title
President
Phone
(856) 616-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X MB072073 NJ Primary

Addresses

Primary practice location

1605 E Evesham Rd
Suite 201
Voorhees, NJ 08043-1421

Mailing address

1605 E Evesham Rd
Suite 201
Voorhees, NJ 08043-1421
Phone (856) 616-9200

Other identifiers 5

IdentifierTypeStateIssuer
2033057000OtherNJAMERIHEALTH
1333139OtherNJBLUE CROSS BLUE SHIELD
2033057000OtherNJKEYSTONE
2680192OtherNJAETNA
0099163MedicaidNJ

Other names 1

  • Garber Plastic Surgery Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1912113739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 E EVESHAM RD",
            "address_2": "SUITE 201",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431421",
            "telephone_number": "856-616-9200",
            "fax_number": "856-616-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E EVESHAM RD",
            "address_2": "SUITE 201",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431421",
            "telephone_number": "856-616-9200",
            "fax_number": "856-616-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT A. GARBER, DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "GARBER",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-616-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "MB072073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2033057000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1333139",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2033057000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2680192",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099163",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garber Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.