CG Medical, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

45PO00002700 Issued in NJ

Legal business name

CG MEDICAL, INC.

Practice address

1501 Livingston Ave
Ste 103
North Brunswick, NJ 08902-1876

Phone

(732) 545-2885

Fax

(732) 545-0153

NPI assigned

May 23, 2005

Organization subpart

No

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

Title

Prosthetist/Orthotist

Phone

(732) 545-2885

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1962405902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 LIVINGSTON AVE",
            "address_2": "STE 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": "1501 LIVINGSTON AVE",
            "address_2": "STE 103",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021876",
            "telephone_number": "732-545-2885",
            "fax_number": "732-545-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CG MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2008-06-12",
        "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": "732-545-2885",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO,LPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NJ",
            "license": "45PO00002700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1056204",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in North Brunswick, NJ
• Providers in North Brunswick, NJ by specialty
• Prosthetic/Orthotic Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.