Active NPIOrganization

Mg Physician Assistant PLLC

Physician Assistant, Surgical in Ridgewood, New Jersey

NPI Number1679167977
Practice location
414 Smith Pl Apt 1, Ridgewood, NJ 07450-1402
Fax
—
Last updated
July 6, 2026

Mg Physician Assistant PLLC is a healthcare organization based in Ridgewood, NJ. Mg Physician Assistant PLLC practices in Ridgewood, NJ. The NPI Number for Mg Physician Assistant PLLC is 1679167977. The current practice location address for Mg Physician Assistant PLLC is 414 Smith Pl Apt 1, Ridgewood, NJ 07450-1402 and can be reached out via phone at 917-679-2200.

Provider Profile Details

NPI Number
1679167977
Provider Name
Mg Physician Assistant PLLC
Provider Entity Type
Organization
Address
414 Smith Pl Apt 1, Ridgewood, NJ 07450-1402
Phone Number
917-679-2200
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Organization Subpart
No
Authorized Official
Marigona Gashi · Owner · 917-679-2200
Provider Enumeration Date
February 26, 2021
Last Update Date
July 6, 2026
Certification Date
July 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
414 Smith Pl Apt 1
Ridgewood, NJ 07450-1402
Zip
07450-1402
Phone Number
917-679-2200
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
414 Smith Pl Apt 1
Ridgewood, NJ 07450-1402
City
Ridgewood
State
NJ
Zip
07450-1402
Phone Number
917-679-2200

License Information

Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mg Physician Assistant PLLC?

The NPI number of Mg Physician Assistant PLLC is 1679167977. It was assigned on February 26, 2021 and is currently active in the NPPES registry.

What is the specialty of Mg Physician Assistant PLLC?

Mg Physician Assistant PLLC is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X).

Where does Mg Physician Assistant PLLC practice?

The practice location is 414 Smith Pl Apt 1, Ridgewood, NJ 07450-1402. The office can be reached at 917-679-2200 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679167977 directly on the NPPES registry website.

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