Organization Active NPI

Assist at Ease, Inc

  • Surgical Physician Assistant
  • Deerfield Beach, FL
National Provider Identifier
1104366616
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
ASSIST AT EASE, INC
Practice address
3467 W Hillsboro Blvd Ste a
Deerfield Beach, FL 33442-9473
Phone
(954) 274-5619
Fax
(754) 227-5792
NPI assigned
Mar 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Authorized official

Name
Bricklin WilliamsNPI 1942677869
Title
President
Phone
(954) 274-5619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3467 W Hillsboro Blvd Ste a
Deerfield Beach, FL 33442-9473

Mailing address

PO Box 4201
Deerfield Beach, FL 33442-4201
Phone (954) 274-5619

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.

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1104366616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4201",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334424201",
            "telephone_number": "954-274-5619",
            "fax_number": "754-227-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3467 W HILLSBORO BLVD STE A",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429473",
            "telephone_number": "954-274-5619",
            "fax_number": "754-227-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSIST AT EASE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRICKLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-274-5619"
    },
    "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 Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.