Active NPI
First Assist Surgical Services
- Orthopaedic Surgery of the Spine Physician
- Paramus, NJ
National Provider Identifier
1689003196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- MA067801
- Legal business name
- FIRST ASSIST SURGICAL SERVICES
- Practice address
- 205 Homestead Rd
Paramus, NJ 07652-4709 - Phone
- (516) 587-3406
- NPI assigned
- Nov 5, 2013
- 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
- Tony Jacob
- Title
- President
- Phone
- (516) 587-3406
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | MA067801 | NJ | Primary |
| Surgical Physician Assistant | 363AS0400X | 25MP00294500 | NJ |
Addresses
Primary practice location
205 Homestead Rd
Paramus, NJ 07652-4709
Mailing address
205 Homestead Rd
Paramus, NJ 07652-4709
Phone (516) 587-3406
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464912000000",
"number": "1689003196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 HOMESTEAD RD",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076524709",
"telephone_number": "516-587-3406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 HOMESTEAD RD",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076524709",
"telephone_number": "516-587-3406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST ASSIST SURGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-05",
"last_updated": "2016-06-03",
"status": "A",
"authorized_official_last_name": "JACOB",
"authorized_official_first_name": "TONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-587-3406"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NJ",
"license": "MA067801",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": "NJ",
"license": "25MP00294500",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.