Provider Demographics
NPI:1972483972
Name:ALL STARS SURGICAL ASSIST NV, PLLC
Entity type:Organization
Organization Name:ALL STARS SURGICAL ASSIST NV, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:BRANKO
Authorized Official - Middle Name:
Authorized Official - Last Name:SKOVRLJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-881-3023
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:917-881-3023
Mailing Address - Fax:
Practice Address - Street 1:1901 HOOPER AVE STE B
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-1600
Practice Address - Country:US
Practice Address - Phone:917-881-3023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty