Provider Demographics
NPI:1831322338
Name:FIRST ASSISTANTS R.N. SERVICES OF NEW JERSEY
Entity Type:Organization
Organization Name:FIRST ASSISTANTS R.N. SERVICES OF NEW JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:CORINA
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:973-809-0437
Mailing Address - Street 1:57 PARK PLACE
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-3989
Mailing Address - Country:US
Mailing Address - Phone:973-809-0437
Mailing Address - Fax:973-744-6079
Practice Address - Street 1:57 PARK PL
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-3526
Practice Address - Country:US
Practice Address - Phone:973-809-0437
Practice Address - Fax:973-744-6079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1831322338Medicaid