Nissy Surgical 1st Assist LLC
NPI 1134584519ActiveOrganization· Physician Assistant, Surgical· Boynton Beach, FL
Physician Assistant, Surgical in Boynton Beach, Florida, registered in NPPES in December 2015. The authorized official on file is Rodrigue Tertus, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134584519 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 29, 2015 |
| Last updated in NPPES | Dec 29, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA9107169 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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