Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mg Physician Assistant PLLC

Organization Surgical Physician Assistant · NPI 1679167977

Mg Physician Assistant PLLC is a Surgical Physician Assistant in Ridgewood, New Jersey. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

414 Smith Pl Apt 1
Ridgewood, NJ 07450-1402
Phone: (917) 679-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1679167977
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marigona Gashi — Owner · (917) 679-2200
NPI enumeratedFebruary 26, 2021
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address414 Smith Pl Apt 1, Ridgewood, NJ 07450-1402

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