Njsurgassist,LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP0025700 Issued in NJ

Legal business name

NJSURGASSIST,LLC

Practice address

12 Perera Ave
Wayne, NJ 07470-4330

Phone

(973) 902-2307

Fax

(862) 221-9799

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David L Rasizer, PANPI 1588677033

Title

Physician Assistant/Owner

Phone

(973) 902-2307

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David L. Rasizer, PA

  • Physician Assistant
  • Wayne, NJ
  • NPI 1588677033
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1891808168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3295",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074743295",
            "telephone_number": "973-902-2307",
            "fax_number": "862-221-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PERERA AVE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704330",
            "telephone_number": "973-902-2307",
            "fax_number": "862-221-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJSURGASSIST,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "RASIZER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT/OWNER",
        "authorized_official_telephone_number": "973-902-2307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP0025700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Niescieruk, APN, RN
• NJ Healthcare Facilities Management LLC
• NJ Healthcare Facilities Management, LLC
• NJ Medical Rehabilitation, LLC
• NJ Multi-Specialty Center PC
• Noel S. Caragian, O.D.,P.a.
• Estania Noel, LPC
• Christine Nolan, OT
• North America Cardiovascular-Interventional Cardiology Akra Institute
• North Haledon Medical, PC

• Physician Assistant in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.