Organization Active NPI

Ideal First Assistants LLC

  • Surgical Physician Assistant
  • Newark, NJ
National Provider Identifier
1619266301
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00145100 Issued in NJ
Legal business name
IDEAL FIRST ASSISTANTS LLC
Practice address
174 Mapes Ave FL 3
Newark, NJ 07112-2018
Phone
(347) 653-8920
NPI assigned
Apr 4, 2011
Last updated
Apr 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Enamul HoqueNPI 1457582710
Title
President
Phone
(347) 653-8920

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X 25MP00145100 NJ Primary

Addresses

Primary practice location

174 Mapes Ave FL 3
Newark, NJ 07112-2018

Mailing address

174 Mapes Ave FL 3
Newark, NJ 07112-2018
Phone (347) 653-8920

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": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1619266301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 MAPES AVE FL 3",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122018",
            "telephone_number": "347-653-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 MAPES AVE FL 3",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122018",
            "telephone_number": "347-653-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL FIRST ASSISTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "HOQUE",
        "authorized_official_first_name": "ENAMUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-653-8920"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00145100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.