Juan Carlos Garcia, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

230363 Issued in NY

Legal business name

JUAN CARLOS GARCIA, PLLC

Practice address

102 Park St
Suite 202
Glens Falls, NY 12801-4449

Phone

(518) 793-0475

Fax

(518) 793-6658

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Juan Carlos Garcia, MDNPI 1376586735

Title

MD

Phone

(518) 793-0475

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Juan Carlos Garcia, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Glens Falls, NY
  • NPI 1376586735

  Specialist

  Medicare reassignment NPD Authorized official
• Brian McDermott, DO

  • Infectious Disease Physician
  • Glens Falls, NY
  • NPI 1477707552
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972622918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PARK ST",
            "address_2": "SUITE 202",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014449",
            "telephone_number": "518-793-0475",
            "fax_number": "518-793-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PARK ST",
            "address_2": "SUITE 202",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014449",
            "telephone_number": "518-793-0475",
            "fax_number": "518-793-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN CARLOS GARCIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "518-793-0475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "230363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02191151",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hillary Johnson, LMT, ATC
• Natalie Sonia Johnson, MS, LAT
• Susan Johnston, RN
• Laurie Jorgensen
• Joseph MC Kay LCSW PC
• K. Winchell-Barrile Psychology PLLC
• Farhana Kamal, MD
• Syed A Kamal, MD FAAP
• Anna Kaoutskaia, MD
• Carol A Kasold, RN

• Specialist in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.