Organization Active NPI

JC Surgical First Assist, LLC

  • Registered Nurse First Assistant
  • Toms River, NJ
National Provider Identifier
1023143492
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
26NO10709900 Issued in NJ
Legal business name
JC SURGICAL FIRST ASSIST, LLC
Practice address
99 Route 37 W
Toms River, NJ 08755-6423
Phone
(732) 552-9856
NPI assigned
Feb 23, 2007
Last updated
Apr 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Joanne Chodak, RN FIRST ASSISTNPI 1356400717
Title
Officer
Phone
(732) 552-9856

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 26NO10709900 NJ Primary

Addresses

Primary practice location

99 Route 37 W
Toms River, NJ 08755-6423

Mailing address

PO Box 216
Beachwood, NJ 08722-0216
Phone (732) 552-9856

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1023143492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "BEACHWOOD",
            "state": "NJ",
            "postal_code": "087220216",
            "telephone_number": "732-552-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 ROUTE 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556423",
            "telephone_number": "732-552-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC SURGICAL FIRST ASSIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "CHODAK",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "732-552-9856",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN FIRST ASSIST"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NJ",
            "license": "26NO10709900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.