Maged M Gerges MD LLC

Primary specialty

Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X

License

25MA07378500 Issued in NJ

Legal business name

MAGED M GERGES MD LLC

Practice address

1 Clara Maass Dr
Belleville, NJ 07109-3550

Phone

(973) 450-2500

NPI assigned

Jun 1, 2016

Last updated

Jun 1, 2016By 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

Maged M Gerges, MD

Title

President

Phone

(908) 626-9165

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1982052734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CLARA MAASS DR",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093550",
            "telephone_number": "973-450-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CLARA MAASS DR",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093550",
            "telephone_number": "973-450-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGED M GERGES MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "GERGES",
        "authorized_official_first_name": "MAGED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-626-9165",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "NJ",
            "license": "25MA07378500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8959404",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angiel Jouseth Luque Saiboo, RN
• Pablo Antonio Luzardo Baldomi
• William Lynch, RPH
• Jacqueline Maddi, BBCBA
• Jeanne Rose O Magante, PT
• Makeithappen411
• Vipul Malaviya
• Anthony Maldonado-Duenez
• Kelley Wachter Mali, PA-C
• Faiza Malik, MD

• Anesthesiology Physician in Belleville, NJ
• Providers in Belleville, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.