Charles G. Garbaccio, Mdpa

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

25MA03096600 Issued in NJ

Legal business name

CHARLES G. GARBACCIO, MDPA

Practice address

2 Dean Dr
Tenafly, NJ 07670-2765

Phone

(201) 567-1380

Fax

(201) 567-9106

NPI assigned

Oct 25, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Charles G Garbaccio, MD

Title

President

Phone

(201) 567-1380

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1942553003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DEAN DR",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702765",
            "telephone_number": "201-567-1380",
            "fax_number": "201-567-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DEAN DR",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702765",
            "telephone_number": "201-567-1380",
            "fax_number": "201-567-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES G. GARBACCIO, MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "GARBACCIO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-567-1380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA03096600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Cassetta-Zeig, BCBA
• Catherine Marie Cavaliere, PHD, OTR/L
• Center for Same Day Surgery LLC
• Helen Chae, DPT
• Penelope Chang, D.D.S.
• Charles Goodstein,M.D.,P.a.
• Dorje Chen, DC
• Pema Yang Chen, L.AC.
• Stephen Harold Chenen, M.D.
• Sherwin K Cheng, DDS

• Plastic Surgery Physician in Tenafly, NJ
• Providers in Tenafly, NJ by specialty
• Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.