Active NPI
Bennett Assist LLC
- Ambulatory Surgical Clinic/Center
- Freehold, NJ
National Provider Identifier
1154588234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 26NO08550000
- Legal business name
- BENNETT ASSIST LLC
- Practice address
- 115 Havens Mill Rd
Freehold, NJ 07728-3060 - Phone
- (908) 415-8160
- Fax
- (732) 308-1544
- NPI assigned
- May 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Heidi Jones Bennett, CRNFA
- Title
- Crnfa
- Phone
- (908) 415-8160
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 26NO08550000 | NJ | Primary |
| Rural Acute Care Hospital | 282NR1301X | 26NO0855000 | NJ |
Addresses
Primary practice location
115 Havens Mill Rd
Freehold, NJ 07728-3060
Mailing address
115 Havens Mill Rd
Freehold, NJ 07728-3060
Phone (908) 415-8160
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210982400000",
"number": "1154588234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 HAVENS MILL RD",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077283060",
"telephone_number": "908-415-8160",
"fax_number": "732-308-1544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 HAVENS MILL RD",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077283060",
"telephone_number": "908-415-8160",
"fax_number": "732-308-1544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENNETT ASSIST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-17",
"last_updated": "2008-05-17",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "HEIDI",
"authorized_official_middle_name": "JONES",
"authorized_official_title_or_position": "CRNFA",
"authorized_official_telephone_number": "908-415-8160",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CRNFA"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NJ",
"license": "26NO08550000",
"primary": true
},
{
"code": "282NR1301X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Rural",
"state": "NJ",
"license": "26NO0855000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.