Nissy Surgical 1st Assist LLC
NPI 1134584519 · Surgical Physician Assistant · Boynton Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nissy Surgical 1st Assist LLC is a Surgical Physician Assistant organization in Boynton Beach, FL (NPI 1134584519).
Provider details
- NPI number
- 1134584519
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Rodrigue Tertus, Authorized Official(954) 416-1781
- License
- PA9107169 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-12-29
- Last updated
- 2015-12-29
Frequently asked questions
- What is Nissy Surgical 1st Assist LLC's NPI number?
- Nissy Surgical 1st Assist LLC's National Provider Identifier (NPI) is 1134584519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nissy Surgical 1st Assist LLC?
- Nissy Surgical 1st Assist LLC is classified in the NPPES registry as Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nissy Surgical 1st Assist LLC located?
- Nissy Surgical 1st Assist LLC's practice location on file with NPPES is 10752 Emilia Isles Ter, Boynton Beach, FL 33473-4965.
- What is Nissy Surgical 1st Assist LLC's phone number?
- The practice phone number listed in the NPPES registry for Nissy Surgical 1st Assist LLC is (954) 416-1781.
- Does Nissy Surgical 1st Assist LLC accept Medicare?
- Nissy Surgical 1st Assist LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Nissy Surgical 1st Assist LLC?
- The authorized official listed on Nissy Surgical 1st Assist LLC's NPPES record is Rodrigue Tertus, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nissy Surgical 1st Assist LLC's NPI active?
- Yes — Nissy Surgical 1st Assist LLC's NPI (1134584519) is active in the NPPES registry as of the last update on 2015-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.