Provider Demographics
NPI:1043776255
Name:FIRST ASSIST SURGICAL SERVICES LLC
Entity type:Organization
Organization Name:FIRST ASSIST SURGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELYSE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARBERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-490-0036
Mailing Address - Street 1:205 HOMESTEAD RD
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-4709
Mailing Address - Country:US
Mailing Address - Phone:516-587-3406
Mailing Address - Fax:201-440-2370
Practice Address - Street 1:205 HOMESTEAD RD
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-4709
Practice Address - Country:US
Practice Address - Phone:516-587-3406
Practice Address - Fax:201-440-2370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-12
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty