Provider Demographics
NPI:1194191049
Name:AFFILIATED FIRST ASSISTANT SERVICES LLC
Entity Type:Organization
Organization Name:AFFILIATED FIRST ASSISTANT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BILLS
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:973-957-0548
Mailing Address - Street 1:PO BOX 32
Mailing Address - Street 2:
Mailing Address - City:DUMONT
Mailing Address - State:NJ
Mailing Address - Zip Code:07628-0032
Mailing Address - Country:US
Mailing Address - Phone:973-957-0548
Mailing Address - Fax:866-329-0698
Practice Address - Street 1:318 PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:DUMONT
Practice Address - State:NJ
Practice Address - Zip Code:07628-1837
Practice Address - Country:US
Practice Address - Phone:201-439-0230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-14
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1945030163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty