Organization Active NPI

Surgical First Assist Services, LLC

  • Surgical Physician Assistant
  • Eatontown, NJ
National Provider Identifier
1043568587
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
SURGICAL FIRST ASSIST SERVICES, LLC
Practice address
32 Corbett Way
Eatontown, NJ 07724-2263
Phone
(609) 709-8414
NPI assigned
Aug 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Jessica E Henderson, PA
Title
Owner/Member
Phone
(609) 709-8414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

32 Corbett Way
Eatontown, NJ 07724-2263

Mailing address

1332 Ocean Ave
Unit 7
Sea Bright, NJ 07760-2277
Phone (609) 709-8414

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1043568587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 OCEAN AVE",
            "address_2": "UNIT 7",
            "city": "SEA BRIGHT",
            "state": "NJ",
            "postal_code": "077602277",
            "telephone_number": "609-709-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CORBETT WAY",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242263",
            "telephone_number": "609-709-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL FIRST ASSIST SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "609-709-8414",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.