North Jersey Surgical Assistant Services, LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

NORTH JERSEY SURGICAL ASSISTANT SERVICES, LLC

Practice address

455 Kipp Ave
Floor 2
Hasbrouck Heights, NJ 07604-2614

Phone

(201) 727-9330

Fax

(201) 425-4527

NPI assigned

May 11, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Michelle Laski, BSN

Title

Owner

Phone

(201) 727-9330

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1881986685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 KIPP AVE",
            "address_2": "FLOOR 2",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076042614",
            "telephone_number": "201-727-9330",
            "fax_number": "201-425-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 KIPP AVE",
            "address_2": "FLOOR 2",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076042614",
            "telephone_number": "201-727-9330",
            "fax_number": "201-425-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY SURGICAL ASSISTANT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "LASKI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-727-9330",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.