Healthcare Provider Details

I. General information

NPI: 1346123528
Provider Name (Legal Business Name): RNFA SURGICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 07/28/2025
Certification Date: 07/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MEDICAL CENTER WAY
SOMERS POINT NJ
08244-2300
US

IV. Provider business mailing address

6101 MONMOUTH AVE APT 101
VENTNOR CITY NJ
08406-2217
US

V. Phone/Fax

Practice location:
  • Phone: 609-653-3500
  • 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: KRISTA GIA KUNKEL
Title or Position: RNFA
Credential: RN
Phone: 609-792-0857