Organization Active NPI

Shore First Assistant Surgical Services LLC

  • Adult Health Nurse Practitioner
  • Linwood, NJ
National Provider Identifier
1558432567
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NN08868500 Issued in NJ
Legal business name
SHORE FIRST ASSISTANT SURGICAL SERVICES LLC
Practice address
7 East Dr
Linwood, NJ 08221-2214
Phone
(973) 957-0548
Fax
(866) 395-0888
NPI assigned
Nov 13, 2006
Last updated
Nov 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Susan Sarkos, APN-C, CRNFANPI 1396815213
Title
Nurse Practitioner, RN First Assist
Phone
(609) 226-1721

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
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 26NN08868500 NJ Primary

Addresses

Primary practice location

7 East Dr
Linwood, NJ 08221-2214

Mailing address

PO Box 434
Linwood, NJ 08221-0534
Phone (973) 957-0548

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1558432567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 434",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082210534",
            "telephone_number": "973-957-0548",
            "fax_number": "866-395-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 EAST DR",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212214",
            "telephone_number": "973-957-0548",
            "fax_number": "866-395-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE FIRST ASSISTANT SURGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "SARKOS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER, RN FIRST ASSIST",
        "authorized_official_telephone_number": "609-226-1721",
        "authorized_official_credential": "APN-C, CRNFA"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN08868500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.