Parham Amir Ganchi, PHD, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

25MA07408100 Issued in NJ

Practice address

246 Hamburg Tpke
# 307
Wayne, NJ 07470-2156

Phone

(973) 942-6600

NPI assigned

Mar 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ganchi Plastic Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Wayne, NJ
  • NPI 1063031862
  NPD (past) Authorized official

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

{
    "created_epoch": "1141430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1972570240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 HAMBURG TPKE",
            "address_2": "# 307",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702156",
            "telephone_number": "973-942-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 HAMBURG TPKE",
            "address_2": "# 307",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702156",
            "telephone_number": "973-942-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANCHI",
        "first_name": "PARHAM",
        "middle_name": "AMIR",
        "credential": "PHD, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-04",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA07408100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9131302",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosemary Furtek, M.A., C.C.C.
• Peter Gad, PHARMD
• Amanda Gallagher, DPM
• Ganchi Plastic Surgery Center LLC
• Ganchi Plastic Surgery PA
• Joseph Gani
• Erica L. Garbarini, PT
• Andy Humberto Garcia, LCSW
• Bernardo A Garcia III
• Dana Gabrielle Garcia, PA-C

• Plastic Surgery Physician in Wayne, NJ
• Providers in Wayne, 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 Mar 31, 2014; 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.