1. Home
  2. Directory
  3. Illinois
  4. Woodridge
  5. Physician Assistant
  6. NPI Profile

MJ SURGASSISTS LLC
NPI 1366184996
Physician Assistant - Surgical in Woodridge, IL

Active since April 13, 2022
2538 RAVINIA LN, WOODRIDGE, IL 60517(708) 205-7678 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mj Surgassists Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MJ SURGASSISTS LLC (NPI 1366184996) is a healthcare organization registered as a surgical in Woodridge, Illinois and active in the NPI registry since April 2022. The organization lists Jason Maddela, Owner, as its authorized official.

NPPES Registry Identity

NPI1366184996
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameMJ SURGASSISTS LLC
Location Address2538 RAVINIA LNWoodridge, IL 60517-2218
Mailing Address2538 Ravinia LnWoodridge, IL 60517-2218
Phone(708) 205-7678
Organization SubpartNo
Authorized OfficialJason MaddelaOwner · (708) 205-7678
Enumeration DateApril 13, 2022
NPPES CertifiedApril 13, 2022
✔ NPI 1366184996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
2538 RAVINIA LN, Woodridge, IL 60517
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JASON MENNO MADDELA SURGICAL ASSISTANT
Physician Assistant (Surgical)
2538 RAVINIA LN
WOODRIDGE, IL 60517
Dupage County (708) 205-7678

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mj Surgassists LLC's NPI number?

The NPI number for Mj Surgassists LLC is 1366184996. It was assigned to this organization in the NPPES registry on April 13, 2022.

Where is Mj Surgassists LLC located?

Mj Surgassists LLC is located at 2538 Ravinia Ln, Woodridge, IL 60517. The listed phone number is (708) 205-7678.

What is Mj Surgassists LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Mj Surgassists LLC was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.