Cag Memorial Health Center

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

MAO13695 Issued in NJ

Legal business name

CAG MEMORIAL HEALTH CENTER

Practice address

75 Harrison Ave
Suite #2
Jersey City, NJ 07304-2555

Phone

(201) 333-0094

Fax

(201) 333-6538

NPI assigned

Aug 14, 2008

Last updated

Aug 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan C. Gibbs Jr., M.D.

Title

Medical Director

Phone

(201) 333-0094

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1376799932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HARRISON AVE",
            "address_2": "SUITE #2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042555",
            "telephone_number": "201-333-0094",
            "fax_number": "201-333-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HARRISON AVE",
            "address_2": "SUITE #2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042555",
            "telephone_number": "201-333-0094",
            "fax_number": "201-333-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAG MEMORIAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-333-0094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NJ",
            "license": "MAO13695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01000097700",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2684403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonio Cabreros, M.D.
• Emily Cacciola, PA
• Alison Diana Caceres, MD
• Ariana N Cacioppo
• Thelusma Cadet
• Sharon Cahill
• Cal - Lab PA
• Brittany Calabro
• California Anesthesia Professionals PC
• Jenny Cam, MD

• Adult Medicine Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Adult Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.