ALC SURGICAL SERVICES LLC (NPI# 1043441819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043441819 |
| Entity Type | Organization |
| Organization Name | ALC SURGICAL SERVICES LLC |
| Practice Address |
20 Henrietta Drive Fairfield NJ 07004 |
| Mailing Address |
30 W Century Rd Suite 225 Paramus NJ 07652-1433 |
| Practice Telephone | 9739570551 |
| Practice Fax Number | 8663290698 |
| Mailing Telephone | 2019861003 |
| Mailing Fax Number | 2019861680 |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | MS. ANNA LIZA N CRISTOBAL (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Telephone | 9739570551 |
| Authorized Official Credential | RNFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
26NO11414700 | NJ | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30 Prospect Ave, Hackensack, NJ 076011914 | 2019962000 |
| Street Address |
20 HENRIETTA DRIVE |
| City | FAIRFIELD |
| State | NJ |
| Zip Code | 07004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543695 | Dr. Mae J. Balaban & Associates LLC | Psychologist | 333 A U.S. Highway 46 W Ste 260, Fairfield, NJ 07004 | 2019-11-18 |
| 1477103547 | Kdds Too, Inc. | Community/Behavioral Health | 28 Dwight Place, Fairfield, NJ 07004 | 2019-09-19 |
| 1912487711 | Vela Diagnostics Usa Inc | Clinical Medical Laboratory | 353c Us Route 46, Suite 250, Fairfield, NJ 07004 | 2018-08-21 |
| 1285111864 | Advance Home Physical Therapy LLC | Physical Therapist | 9 Belair Dr, Fairfield, NJ 07004 | 2018-07-25 |
| 1063808962 | Homecare Rx Inc. | Pharmacy | 695 Us Hwy. 46, Ste. 100, Fairfield, NJ 07004 | 2015-04-08 |
| 1336544832 | Villo' Fiddler | Pharmacist | 632 Rt. 46 East, Fairfield, NJ 07004 | 2014-10-27 |
| 1093133746 | Simone Alicia Douge | Family Medicine | 700 Route 46 E Ste 450, Fairfield, NJ 07004 | 2014-03-31 |
| 1386905529 | Med Life LLC | Ambulance | 295 Route 46 West, Suite 201, Fairfield, NJ 07004 | 2012-06-05 |
| 1164792453 | Daniel Seth Greenbaum | Dentist | 592 Us Highway 46, Fairfield, NJ 07004 | 2012-01-04 |
| 1447529425 | Yelena Daysudov | Pharmacist | 180 Passaic Avenue, Fairfield, NJ 07004 | 2011-12-21 |
| Find all providers in zip 07004 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750558631 | Anna Liza Cristobal | Registered Nurse | 20 Henrietta Dr, Fairfield, NJ 07004-1751 | 2008-05-10 |
| 1518182401 | Denise Renae Sons | Registered Nurse | 1207 N 1st St, Box 721, Fairfield, IL 62837-2466 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013525807 | Integrity Surgical Assistance | Registered Nurse | 1031 Potts Mill Rd, Bordentown, NJ 08505-4209 | 2020-07-17 |
| 1356967400 | Patrick Starr | Registered Nurse | 1445 Pacific Ave, Beachwood, NJ 08722-4324 | 2020-06-24 |
| 1356975486 | Ashley Victoria Damiano | Registered Nurse | 99 Nj Route 37, Toms River, NJ 08755 | 2020-02-27 |
| 1346881208 | Tricia Ann Desider | Registered Nurse | 1706 Corlies Ave Ste 5, Neptune, NJ 07753-4977 | 2019-10-02 |
| 1194372615 | Carolyn Deering | Registered Nurse | 6 Allen Dr, Allentown, NJ 08501-1665 | 2019-08-20 |
| 1811541584 | Susan Lynn Villa | Registered Nurse | 13 Scheurman Ter, Warren, NJ 07059-7154 | 2019-07-30 |
| 1437620705 | Desiree E Alessandrini | Registered Nurse | 130 Greensward Ln, Cherry Hill, NJ 08002-4711 | 2018-12-16 |
| 1770066227 | Jessica Lynn Meade | Registered Nurse | 18 Astor Pl, Springfield, NJ 07081-4201 | 2018-09-11 |
| 1033612775 | Sabrina Jordan | Registered Nurse | 53 Sandra Cir Apt B1, Westfield, NJ 07090-1116 | 2018-03-08 |
| 1598267940 | Adam Todd Copestick | Registered Nurse | 4 Sparrow Ln, Long Valley, NJ 07853-3567 | 2018-03-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.