Active NPI
CG Medical, Inc.
- Prosthetic/Orthotic Supplier
- Flemington, NJ
National Provider Identifier
1174590855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 45PO00002700
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0048691 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI 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.