Healthcare Provider Details

I. General information

NPI: 1083364376
Provider Name (Legal Business Name): A&S SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 MEADOWLANDS PKWY STE 146A
SECAUCUS NJ
07094-1653
US

IV. Provider business mailing address

600 MEADOWLANDS PKWY STE 146A
SECAUCUS NJ
07094-1653
US

V. Phone/Fax

Practice location:
  • Phone: 201-814-8075
  • Fax: 201-221-8429
Mailing address:
  • Phone: 201-814-8075
  • Fax: 201-221-8429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: TEJAL SHAH
Title or Position: MEMBER
Credential: SCS
Phone: 201-814-8075