Organization Active NPI

All Stars Surgical Assist

  • Physician Assistant
  • Middletown, NJ
National Provider Identifier
1588407670
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
ALL STARS SURGICAL ASSIST
Practice address
107 Tindall Rd
Middletown, NJ 07748-2321
Phone
(732) 617-9797
Fax
(732) 812-0979
NPI assigned
Jun 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Josh Pelman
Title
RCM
Phone
(732) 617-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

107 Tindall Rd
Middletown, NJ 07748-2321

Mailing address

107 Tindall Rd
Middletown, NJ 07748-2321
Phone (732) 617-9797

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1588407670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TINDALL RD",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482321",
            "telephone_number": "732-617-9797",
            "fax_number": "732-812-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 TINDALL RD",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482321",
            "telephone_number": "732-617-9797",
            "fax_number": "732-812-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL STARS SURGICAL ASSIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "PELMAN",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "732-617-9797"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.