CCG MEDICAL GROUP LLC NPI 1245954254

NPI Information

NPI: 1245954254
Provider Name: CCG MEDICAL GROUP LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
649 MORRIS AVE
SPRINGFIELD, NJ
ZIP 07081
Phone: (973) 759-9000
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CCG MEDICAL GROUP LLC is an ambulatory surgical clinic center in Springfield, NJ. CCG MEDICAL GROUP LLC NPI is 1245954254. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

649 MORRIS AVE
SPRINGFIELD, NJ
ZIP 07081-526
Phone: (973) 759-9000

The provider's authorized official is Clifford Sales .
The authorized official title is Managing Business Partner and has the following contact phone number (973) 759-9000.

The enumeration date for this NPI number is 10/3/2022 and was last updated on 10/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist				No
2	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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