Provider Demographics
NPI:1992864516
Name:OPERATIVE ASSISTS
Entity Type:Organization
Organization Name:OPERATIVE ASSISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE FIRST ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:KARAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:609-953-8406
Mailing Address - Street 1:138 WAHWAHTAYSEE TRL
Mailing Address - Street 2:
Mailing Address - City:MEDFORD LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-1917
Mailing Address - Country:US
Mailing Address - Phone:609-953-8406
Mailing Address - Fax:
Practice Address - Street 1:138 WAHWAHTAYSEE TRL
Practice Address - Street 2:
Practice Address - City:MEDFORD LAKES
Practice Address - State:NJ
Practice Address - Zip Code:08055-1917
Practice Address - Country:US
Practice Address - Phone:609-953-8406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR06783700163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0400071891OtherBUSINESS