Provider Demographics
NPI:1588407670
Name:ALL STARS SURGICAL ASSIST
Entity type:Organization
Organization Name:ALL STARS SURGICAL ASSIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RCM
Authorized Official - Prefix:
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:PELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-617-9797
Mailing Address - Street 1:107 TINDALL RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-2321
Mailing Address - Country:US
Mailing Address - Phone:732-617-9797
Mailing Address - Fax:732-812-0979
Practice Address - Street 1:107 TINDALL RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-2321
Practice Address - Country:US
Practice Address - Phone:732-617-9797
Practice Address - Fax:732-812-0979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-17
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty