Healthcare Provider Details

I. General information

NPI: 1770389421
Provider Name (Legal Business Name): SUSSEX SURGICAL SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 02/24/2025
Certification Date: 02/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MADISON AVE
MORRISTOWN NJ
07960-6136
US

IV. Provider business mailing address

13 PINE HOLLOW CT
OAK RIDGE NJ
07438-9179
US

V. Phone/Fax

Practice location:
  • Phone: 973-971-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number
License Number State

VIII. Authorized Official

Name: MR. KHALID ROUILLI
Title or Position: REGISTERED NURSE FIRST ASSISTANT
Credential: RN, BSN, CNOR, RNFA
Phone: 973-222-7224