CCG MEDICAL GROUP LLC NPI 1720871635

NPI Information

  • NPI: 1720871635
  • Provider Name: CCG MEDICAL GROUP LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 433 CENTRAL AVE
    WESTFIELD, NJ
    ZIP 07090
  • Phone: (973) 759-9000

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NPI Details

CCG MEDICAL GROUP LLC is an ambulatory surgical clinic center in Westfield, NJ. CCG MEDICAL GROUP LLC NPI is 1720871635. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

433 CENTRAL AVE
WESTFIELD, NJ
ZIP 07090-520
Phone: (973) 759-9000

The provider's authorized official is Clifford M 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 5/23/2025 and was last updated on 5/23/2025.

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
1174400000XSpecialistNo
2261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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