# NORTH JERSEY SURGICAL ASSISTANT SERVICES, LLC

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

## Provider details

- **NPI number:** 1881986685
- **Authorized official:** MS. MICHELLE LASKI BSN (OWNER)
- **Authorized official phone:** (201) 727-9330

## Contact information

- **Practice address:** 455 KIPP AVE, FLOOR 2, HASBROUCK HEIGHTS, NJ 07604-2614
- **Practice address phone:** (201) 727-9330
- **Practice address fax:** (201) 425-4527
- **Mailing address:** 455 KIPP AVE, FLOOR 2, HASBROUCK HEIGHTS, NJ 07604-2614
- **Mailing address phone:** (201) 727-9330
- **Mailing address fax:** (201) 425-4527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | — | NULL | — |
| 163WR0006X | Registered Nurse First Assistant | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2011
- **Last updated:** 02/10/2017