First Assist New Jersey, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00061100 Issued in NJ

Legal business name

FIRST ASSIST NEW JERSEY, LLC

Practice address

140 Mountain Ave
Summit, NJ 07901-3424

Phone

(908) 771-0030

Fax

(908) 771-0030

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Michelle Brenner, RN, APN, C, RNFANPI 1679579452

Title

Owner

Phone

(908) 771-0030

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Brenner, RN, APN,C, RNFA

  • Nurse Practitioner
  • Summit, NJ
  • NPI 1679579452
  NPD (past) Authorized official

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265656771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MOUNTAIN AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013424",
            "telephone_number": "908-771-0030",
            "fax_number": "908-771-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MOUNTAIN AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013424",
            "telephone_number": "908-771-0030",
            "fax_number": "908-771-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST ASSIST NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRENNER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-771-0030",
        "authorized_official_credential": "RN, APN, C, RNFA"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00061100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071196",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI AS NURSE PRACTITIONER",
            "identifier": "1679579452",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Fialka, L.C.S.W.
• Fidelity Hearing Health, LLC
• Alexa Marie Filion, DO
• Daniel M. Fiore, LCSW
• Patrice M Fiore, MSW LCSW
• Rachel L. Fisch-Kaplan, M.S.
• Stuart James Fischer, M.D.
• Jeffrey Lee Flamme, DMD
• Deborah Ann Flynn-Nyktas, D.M.D.
• Michael Fogarty, D.C.

• Nurse Practitioner in Summit, NJ
• Providers in Summit, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.