Healthcare Provider Details

I. General information

NPI: 1992623185
Provider Name (Legal Business Name): PREMIER SURGICAL ASSIST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 COLONY RD
EDGEWATER NJ
07020-1506
US

IV. Provider business mailing address

14 COLONY RD
EDGEWATER NJ
07020-1506
US

V. Phone/Fax

Practice location:
  • Phone: 832-586-4291
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ERICK M SALADO
Title or Position: DIRECTOR
Credential:
Phone: 305-794-9319