Organization Active NPI

Surgassist Surgical Services,LLC

  • Registered Nurse First Assistant
  • Gibbsboro, NJ
National Provider Identifier
1801097548
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
26NR04616200 Issued in NJ
Legal business name
SURGASSIST SURGICAL SERVICES,LLC
Practice address
99 Berlin Rd
Gibbsboro, NJ 08026-1215
Phone
(856) 305-2889
NPI assigned
May 30, 2007
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. Joanne Camp Wentzell, CRNFANPI 1073693875
Title
Sole Proprietor
Phone
(856) 305-2889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 163WR0006X 26NR04616200 NJ Primary

Addresses

Primary practice location

99 Berlin Rd
Gibbsboro, NJ 08026-1215

Mailing address

99 Berlin Rd
Gibbsboro, NJ 08026-1215
Phone (856) 305-2889

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.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801097548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 BERLIN RD",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261215",
            "telephone_number": "856-305-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BERLIN RD",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261215",
            "telephone_number": "856-305-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGASSIST SURGICAL SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WENTZELL",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "CAMP",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "856-305-2889",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NJ",
            "license": "26NR04616200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibbsboro, 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.