# FIRST ASSIST NEW JERSEY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265656771
- **Authorized official:** MICHELLE BRENNER RN, APN, C, RNFA (OWNER)
- **Authorized official phone:** (908) 771-0030

## Contact information

- **Practice address:** 140 MOUNTAIN AVE, SUMMIT, NJ 07901-3424
- **Practice address phone:** (908) 771-0030
- **Practice address fax:** (908) 771-0030
- **Mailing address:** 140 MOUNTAIN AVE, SUMMIT, NJ 07901-3424
- **Mailing address phone:** (908) 771-0030
- **Mailing address fax:** (908) 771-0030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 26NJ00061100 | NJ | Yes |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0071196 | — | NJ |
| 01 | — | 1679579452 | NPI AS NURSE PRACTITIONER | NJ |
