Provider Demographics
NPI:1215753322
Name:GGI HEALTH LLC
Entity type:Organization
Organization Name:GGI HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APN
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:WANGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-379-3221
Mailing Address - Street 1:404 VIBURNUM CT
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-5203
Mailing Address - Country:US
Mailing Address - Phone:732-379-3221
Mailing Address - Fax:848-200-1139
Practice Address - Street 1:525 ROUTE 73 N
Practice Address - Street 2:
Practice Address - City:EVESHAM
Practice Address - State:NJ
Practice Address - Zip Code:08053-3422
Practice Address - Country:US
Practice Address - Phone:732-379-3221
Practice Address - Fax:848-200-1139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty