Organization Active NPI

MG Physician Assistant PLLC

  • Surgical Physician Assistant
  • Ridgewood, NJ
National Provider Identifier
1679167977
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
MG PHYSICIAN ASSISTANT PLLC
Practice address
414 Smith PL Apt 1
Ridgewood, NJ 07450-1402
Phone
(917) 679-2200
NPI assigned
Feb 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Marigona GashiNPI 1194158048
Title
Owner
Phone
(917) 679-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

414 Smith PL Apt 1
Ridgewood, NJ 07450-1402

Mailing address

414 Smith PL Apt 1
Ridgewood, NJ 07450-1402
Phone (917) 679-2200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1679167977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 SMITH PL APT 1",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501402",
            "telephone_number": "917-679-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 SMITH PL APT 1",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501402",
            "telephone_number": "917-679-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG PHYSICIAN ASSISTANT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "GASHI",
        "authorized_official_first_name": "MARIGONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-679-2200"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.