Organization Active NPI

CG Medical, Inc.

  • Prosthetic/Orthotic Supplier
  • Flemington, NJ
National Provider Identifier
1174590855
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
45PO00002700 Issued in NJ
Legal business name
CG MEDICAL, INC.
Practice address
6 Minneakoning Rd
Flemington, NJ 08822-5725
Phone
(908) 788-9159
Fax
(732) 545-0153
NPI assigned
Mar 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Mr. Carey A Glass, CPO,LPO,FAAOP
Title
Prosthetist/Orthotist
Phone
(908) 788-9159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 45PO00002700 NJ Primary

Addresses

Primary practice location

6 Minneakoning Rd
Flemington, NJ 08822-5725

Mailing address

1501 Livingston Ave
Suite 103
North Brunswick, NJ 08902-1876
Phone (732) 545-2885

Other identifiers 1

IdentifierTypeStateIssuer
0048691MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1174590855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 LIVINGSTON AVE",
            "address_2": "SUITE 103",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021876",
            "telephone_number": "732-545-2885",
            "fax_number": "732-545-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MINNEAKONING RD",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225725",
            "telephone_number": "908-788-9159",
            "fax_number": "732-545-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CG MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROSTHETIST/ORTHOTIST",
        "authorized_official_telephone_number": "908-788-9159",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO,LPO,FAAOP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NJ",
            "license": "45PO00002700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0048691",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.