Active NPI
Ideal First Assistants LLC
- Surgical Physician Assistant
- Newark, NJ
National Provider Identifier
1619266301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 25MP00145100
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Enamul Hoque
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Surgical Physician Assistant | 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 DirectoryPractitioners & 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.
-
- Surgical Physician Assistant
- Newark, NJ
- NPI 1457582710
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.