Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MG PHYSICIAN ASSISTANT PLLC
NPI 1679167977
Physician Assistant - Surgical in Ridgewood, NJ

Q: What is Mg Physician Assistant PLLC's NPI number?

The NPI number for Mg Physician Assistant PLLC is 1679167977. It was assigned to this organization in the NPPES registry on February 26, 2021.

Q: What is Mg Physician Assistant PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since February 26, 2021

414 SMITH PL APT 1, RIDGEWOOD, NJ 07450(917) 679-2200 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 6, 2026, Feb 26, 2021 (2 updates tracked since 2021).

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About Mg Physician Assistant Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MG PHYSICIAN ASSISTANT PLLC (NPI 1679167977) is a healthcare organization registered as a surgical in Ridgewood, New Jersey and active in the NPI registry since February 2021. The organization lists Marigona Gashi, Owner, as its authorized official.

NPPES Registry Identity

NPI1679167977

Entity TypeOrganization

Primary Taxonomy363AS0400X

Legal Business NameMG PHYSICIAN ASSISTANT PLLC

Location Address414 SMITH PL APT 1Ridgewood, NJ 07450-1402

Mailing Address414 Smith Pl Apt 1Ridgewood, NJ 07450-1402 · (917) 679-2200

Phone(917) 679-2200

Organization SubpartNo

Authorized OfficialMarigona GashiOwner · (917) 679-2200

Enumeration DateFebruary 26, 2021

Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1679167977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

414 SMITH PL APT 1, Ridgewood, NJ 07450

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mg Physician Assistant PLLC's NPI number?

The NPI number for Mg Physician Assistant PLLC is 1679167977. It was assigned to this organization in the NPPES registry on February 26, 2021.

Where is Mg Physician Assistant PLLC located?

Mg Physician Assistant PLLC is located at 414 Smith Pl Apt 1, Ridgewood, NJ 07450. The listed phone number is (917) 679-2200.

What is Mg Physician Assistant PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Mg Physician Assistant PLLC was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.