Cgganjhos LLC
Organization Active NPI Clinic/Center · Park Ridge, NJ
NPI 1649019258 · NPPES record last updated May 22, 2024
Key facts
- NPI
- 1649019258
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- CGGANJHOS LLC
- Practice address
- 8 Glenbrook Dr
Park Ridge, NJ 07656-1808 - Phone
- (845) 596-3760
- NPI assigned
- May 22, 2024
- Organization subpart
- No
Authorized official
- Name
- Erik Svensson
- Title
- MD
- Phone
- (845) 596-3760
Practitioners 1
-
Erik D Svensson, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240530000093 | NJ | Part B Supplier - Clinic/Group Practice | 4981046489 |
Receives reassigned benefits from 1 practitioner Practice locations: Park Ridge, NJ; Hackensack, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
8 Glenbrook Dr
Park Ridge, NJ 07656-1808
Mailing address
8 Glenbrook Dr
Park Ridge, NJ 07656-1808
Other providers in Park Ridge, NJ
- Cali Cares LLC
- Natalie Calianese
- Christine Carberry
- Arlene Castillo
- Carolyn Mary Cerswell
- Children'S Aid and Family Services, Inc.
- Children'S Aid and Family Services, Inc.
- Dominique Clark
- Elana T Clark
- Glenn Nicholas Collazo
All providers in Park Ridge, NJ · Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.