Iconic Wellness Surgical Services
NPI 1316303035 · Surgical Physician Assistant · Glen Rock, NJ
Iconic Wellness Surgical Services is a Surgical Physician Assistant organization in Glen Rock, NJ (NPI 1316303035).
Provider details
- NPI number
- 1316303035
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Sadyk Fayzulayev, Managing Member(201) 444-1645
- License
- 25MP00262900 (NJ)
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
- 2016-01-11
- Last updated
- 2016-01-11
Frequently asked questions
- What is Iconic Wellness Surgical Services's NPI number?
- Iconic Wellness Surgical Services's National Provider Identifier (NPI) is 1316303035, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Iconic Wellness Surgical Services?
- Iconic Wellness Surgical Services is classified in the NPPES registry as Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Iconic Wellness Surgical Services located?
- Iconic Wellness Surgical Services's practice location on file with NPPES is 139 Harristown Rd, Glen Rock, NJ 07452-3312.
- What is Iconic Wellness Surgical Services's phone number?
- The practice phone number listed in the NPPES registry for Iconic Wellness Surgical Services is (201) 444-1645.
- Who is the authorized official for Iconic Wellness Surgical Services?
- The authorized official listed on Iconic Wellness Surgical Services's NPPES record is Sadyk Fayzulayev, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Iconic Wellness Surgical Services's NPI active?
- Yes — Iconic Wellness Surgical Services's NPI (1316303035) is active in the NPPES registry as of the last update on 2016-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.