MEDICARE: INTRA-OP FIRST ASSIST SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant	25MP00182600	NJ

General Provider Information

NPI Number	:	1538555784
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTRA-OP FIRST ASSIST SERVICES

Provider Business Mailing Address
First Line	:	492 CEDAR LN BLDG C
Second Line	:	#340
City	:	TEANECK
State	:	NJ
Zip	:	07666-1713
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	492 CEDAR LN BLDG C
Second Line	:	#340
City	:	TEANECK
State	:	NJ
Zip	:	07666-1713
Country	:	US
Telephone Number	:	201-357-5468
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PHILLIP D ROSE
Credential	:	PA-C
Telephone Number	:	201-357-5468

Provider Enumeration Date	:	04/14/2015
Last Update Date	:	04/14/2015

Similar Medicare Providers

1013040328 — DR. STANLEY IRA LEVINGER O.D.
Practice Location Address:

502B CEDAR LN
TEANECK, NJ
07666-1713

Practice Phone: 201-836-5644
Practice Fax: 201-836-5699

1962688069 — STANLEY I LEVINGER OD PA
Practice Location Address:

502B CEDAR LN
TEANECK, NJ
07666-1713

Practice Phone: 201-836-5644
Practice Fax:

1588127187 — YOCHEVED KRAMER PA
Practice Location Address:

492-C CEDAR LN , STE 514
TEANECK, NJ
07666-1713

Practice Phone: 732-451-4318
Practice Fax:

1407491442 — BELLA HOFFMAN NP
Practice Location Address:

492C CEDAR LN STE 514
TEANECK, NJ
07666-1713

Practice Phone: 732-451-4318
Practice Fax:

1730858945 — DR. JAIME CASTILLO FLORES PHARMD
Practice Location Address:

520 CEDAR LN
TEANECK, NJ
07666-1713

Practice Phone: 201-347-3137
Practice Fax:

1881352839 — JOELLE JO
Practice Location Address:

520 CEDAR LN
TEANECK, NJ
07666-1713

Practice Phone: 201-347-3137
Practice Fax:

Directions to “INTRA-OP FIRST ASSIST SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.