Organization Active NPI

PRN Surgical Assistance

  • Registered Nurse First Assistant
  • Medford, NJ
National Provider Identifier
1598814113
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
26NR06899400 Issued in NJ
Legal business name
PRN SURGICAL ASSISTANCE
Practice address
9 Pontiac Dr
Medford, NJ 08055-8115
Phone
(856) 985-9375
Fax
(856) 985-9375
NPI assigned
Jan 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Margaret Carolyn Malecka, RNFANPI 1750460002
Title
Owner
Phone
(856) 985-9375

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 163WR0006X 26NR06899400 NJ Primary

Addresses

Primary practice location

9 Pontiac Dr
Medford, NJ 08055-8115

Mailing address

9 Pontiac Dr
Medford, NJ 08055-8115
Phone (856) 985-9375

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598814113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PONTIAC DR",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558115",
            "telephone_number": "856-985-9375",
            "fax_number": "856-985-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 PONTIAC DR",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558115",
            "telephone_number": "856-985-9375",
            "fax_number": "856-985-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN SURGICAL ASSISTANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALECKA",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-985-9375",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NJ",
            "license": "26NR06899400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

  • 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.