Organization Active NPI

Premier Surgical Assistant,LLC

  • Registered Nurse First Assistant
  • Sicklerville, NJ
National Provider Identifier
1841535945
Registry record updated Dec 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
26NO10432600 Issued in NJ
Legal business name
PREMIER SURGICAL ASSISTANT,LLC
Practice address
16 Parktown PL
Sicklerville, NJ 08081-4226
Phone
(856) 723-7703
NPI assigned
Dec 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2012

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

Authorized official

Name
Ms. Francine Delatour, R.N.,CNOR,RNFANPI 1588953244
Title
Owner
Phone
(856) 723-7703

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 26NO10432600 NJ Primary

Addresses

Primary practice location

16 Parktown PL
Sicklerville, NJ 08081-4226

Mailing address

16 Parktown PL
Sicklerville, NJ 08081-4226
Phone (856) 723-7703

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": "1354320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354320000000",
    "number": "1841535945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PARKTOWN PL",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814226",
            "telephone_number": "856-723-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PARKTOWN PL",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814226",
            "telephone_number": "856-723-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SURGICAL ASSISTANT,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-01",
        "last_updated": "2012-12-01",
        "status": "A",
        "authorized_official_last_name": "DELATOUR",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-723-7703",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N.,CNOR,RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NJ",
            "license": "26NO10432600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2012; 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.