Shore Surgical Assistant Service, LLC
Registered Nurse, Registered Nurse First Assistant in Dorothy, New Jersey
1104949528- Practice location
- 62 Tuckahoe RD, Dorothy, NJ 08317-9702
- Phone
- 609-476-4624
- Fax
- —
- Last updated
- May 21, 2020
Shore Surgical Assistant Service, LLC is a healthcare organization based in Dorothy, NJ. Shore Surgical Assistant Service, LLC practices in Dorothy, NJ. The NPI Number for Shore Surgical Assistant Service, LLC is 1104949528 and holds a License No. 26NO09467800 (NJ). The current practice location address for Shore Surgical Assistant Service, LLC is 62 Tuckahoe RD, Dorothy, NJ 08317-9702 and can be reached out via phone at 609-476-4624.
Provider Profile Details
- NPI Number
- 1104949528
- Provider Name
- Shore Surgical Assistant Service, LLC
- Provider Entity Type
- Organization
- Address
- 62 Tuckahoe RD, Dorothy, NJ 08317-9702
- Phone Number
- 609-476-4624
- Primary Taxonomy
- Registered Nurse, Registered Nurse First Assistant · 163WR0006X
- Organization Subpart
- No
- Authorized Official
- Mr. Gary A Buck, CRNFA · Owner · 609-476-4624
- Provider Enumeration Date
- April 9, 2007
- Last Update Date
- May 21, 2020
- Certification Date
- March 1, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 62 Tuckahoe RD
Dorothy, NJ 08317-9702 - City
- Dorothy
- State
- New Jersey
- Zip
- 08317-9702
- Phone Number
- 609-476-4624
Provider Business Mailing Address Details
- Address
- Po Box 331
Mays Landing, NJ 08330-0331 - City
- Mays Landing
- State
- NJ
- Zip
- 08330-0331
- Phone Number
- 973-957-0551
- Fax Number
- 866-396-3054
License Information
- License Number
- 26NO09467800
- License State
- NJ
- Taxonomy
- Registered Nurse, Registered Nurse First Assistant · 163WR0006X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shore Surgical Assistant Service, LLC?
The NPI number of Shore Surgical Assistant Service, LLC is 1104949528. It was assigned on April 9, 2007 and is currently active in the NPPES registry.
What is the specialty of Shore Surgical Assistant Service, LLC?
Shore Surgical Assistant Service, LLC is registered under the primary taxonomy Registered Nurse, Registered Nurse First Assistant (code 163WR0006X), licensed in NJ under license number 26NO09467800.
Where does Shore Surgical Assistant Service, LLC practice?
The practice location is 62 Tuckahoe RD, Dorothy, NJ 08317-9702. The office can be reached at 609-476-4624 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104949528 directly on the NPPES registry website.