Healthcare Provider Details

I. General information

NPI: 1669533246
Provider Name (Legal Business Name): ADVANCED SERVICES INTERNATIONAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

841 E. ST. GEORGE AVE
ROSELLE NJ
07203
US

IV. Provider business mailing address

841 E. ST. GEORGE AVE
ROSELLE NJ
07203
US

V. Phone/Fax

Practice location:
  • Phone: 201-209-0001
  • Fax: 201-209-1333
Mailing address:
  • Phone: 201-209-0001
  • Fax: 201-209-1333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number4082000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. YURY ROZEL
Title or Position: PRESIDENT
Credential:
Phone: 201-209-0001