Healthcare Provider Details

I. General information

NPI: 1629905583
Provider Name (Legal Business Name): INCISIONEDGE ASSIST, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

556 N RTE 17 STE 5-183
PARAMUS NJ
07652-3008
US

IV. Provider business mailing address

556 N RTE 17 STE 5-183
PARAMUS NJ
07652-3008
US

V. Phone/Fax

Practice location:
  • Phone: 201-745-3003
  • Fax:
Mailing address:
  • Phone: 201-745-3003
  • 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: STEPHANIE KAYE
Title or Position: OWNER/RNFA
Credential: RNFA
Phone: 201-421-0501