CGC GENETICS INC. (NPI# 1467793208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467793208 |
| Entity Type | Organization |
| Organization Name | CGC GENETICS INC. |
| Practice Address |
185 S Orange Ave F661 Newark NJ 07103-2757 |
| Practice Telephone | 9736231264 |
| Practice Fax Number | 9736231266 |
| Mailing Telephone | 9736231264 |
| Mailing Fax Number | 9736231266 |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |
| Authorized Official Name | PROF. PURIFICACAO TAVARES (CEO) |
| Authorized Official Telephone | 9736231264 |
| Authorized Official Credential | M.D., PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | COS00800249 | CA | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720363476 | Cgc Genetics Inc. | Clinical Medical Laboratory | 211 Warren Street, Suite 317, Newark, NJ 07103 | 2011-10-13 |
| Street Address |
185 S ORANGE AVE F661 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568454064 | Raja Gopal Reddy Edula | Internal Medicine | 185 S Orange Ave, Msb, H-538, Newark, NJ 07103-2757 | 2005-08-19 |
| 1023627908 | Milos Brankovic | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave, Newark, NJ 07103-2757 | 2020-07-28 |
| 1275157448 | Michael Luna | Peer Specialist | 185 S Orange Ave, Newark, NJ 07103-2757 | 2020-06-03 |
| 1922622687 | Kishan Bharat Shah | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave, Newark, NJ 07103-2757 | 2020-05-28 |
| 1609498591 | Saatchi Patell | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave, Newark, NJ 07103-2757 | 2020-05-13 |
| 1285256487 | Aprylle Thompson | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave, Newark, NJ 07103-2757 | 2020-05-11 |
| 1285255901 | Michael Gwiazdowski | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave, Newark, NJ 07103-2757 | 2020-05-05 |
| 1902426307 | Haneen Aqleh | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave, Newark, NJ 07103-2757 | 2020-04-26 |
| 1265052948 | Vincent Dodson | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave, Newark, NJ 07103-2757 | 2020-04-22 |
| 1134749377 | Denis Babici | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave, Newark, NJ 07103-2757 | 2020-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144757212 | Delaware Diagnostic Labs, LLC | Clinical Medical Laboratory | 1 Centurian Dr Ste 103, Newark, DE 19713-2137 | 2017-05-19 |
| 1023493608 | American Society of Thermalism and Climatology | Clinical Medical Laboratory | 180 S Orange Ave 1405, Newark, NJ 07103-2766 | 2015-07-24 |
| 1811326283 | Rutgers The State University of New Jersey | Clinical Medical Laboratory | 185 S. Orange Ave, Nj Medical School Msb F- 656, Newark, NJ 07103 | 2013-11-06 |
| 1720363476 | Cgc Genetics Inc. | Clinical Medical Laboratory | 211 Warren Street, Suite 317, Newark, NJ 07103 | 2011-10-13 |
| 1699066225 | Spring Spa Depot Corporation | Clinical Medical Laboratory | 123 Clifford St, Newark, NJ 07105-1950 | 2011-04-30 |
| 1093258873 | Newark-wayne Community Hospital | Clinical Medical Laboratory | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2016-11-28 |
| 1780073478 | Spring Spa Depot Corporation | Clinical Medical Laboratory | 180 S Orange Ave Apt 1405, Newark, NJ 07103-2766 | 2015-01-18 |
| 1114219680 | Tdm Pharmaceutical Research, LLC | Clinical Medical Laboratory | 100 Biddle Ave, Suite 202, Newark, DE 19702-3981 | 2011-05-03 |
| 1801089495 | Newark Wayne Community Hospital-lab | Clinical Medical Laboratory | 1200 Driving Park Ave, Newark, NY 14513-1057 | 2007-08-27 |
| 1083813745 | Rutgers University Diagnostic Services | Clinical Medical Laboratory | 110 Bergen St, Newark, NJ 07103-2495 | 2007-07-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.