Organization Active NPI

Sureassist, LLC

  • Physician Assistant
  • Succasunna, NJ
National Provider Identifier
1386059848
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00005400 Issued in NJ
Legal business name
SUREASSIST, LLC
Practice address
4 Brittany Rd
Succasunna, NJ 07876-2036
Phone
(973) 886-9486
Fax
(973) 252-6741
NPI assigned
Jun 24, 2014
Last updated
Jun 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Mr. Leonard Vander Horn, PA--C
Title
Owner
Phone
(973) 886-9486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 25MP00005400 NJ Primary

Addresses

Primary practice location

4 Brittany Rd
Succasunna, NJ 07876-2036

Mailing address

4 Brittany Rd
Succasunna, NJ 07876-2036
Phone (973) 886-9486

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1386059848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BRITTANY RD",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078762036",
            "telephone_number": "973-886-9486",
            "fax_number": "973-252-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BRITTANY RD",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078762036",
            "telephone_number": "973-886-9486",
            "fax_number": "973-252-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUREASSIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "VANDER HORN",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-886-9486",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA--C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00005400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Succasunna, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.