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

Last updated

Oct 25, 2012By 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

Dr. Charles G Garbaccio, MDNPI 1801857388

Title

President

Phone

(201) 567-1380

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Charles Godfrey Garbaccio, MD

  • Plastic Surgery Physician
  • Tenafly, NJ
  • NPI 1801857388
  Authorized official Same address or phone

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.