Organization
MG PHYSICIAN ASSISTANT PLLC
Active
Organization
MG PHYSICIAN ASSISTANT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIGONA GASHI (OWNER)
(917) 679-2200
Entity
Organization
Contact information
Practice address
414 SMITH PL APT 1, RIDGEWOOD, NJ 07450-1402
(917) 679-2200
Mailing address
414 SMITH PL APT 1, RIDGEWOOD, NJ 07450-1402
(917) 679-2200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/26/2021
Last updated
07/06/2026
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