Roman Matsouk, PA-C
Physician Assistant, Surgical in Fairfield, New Jersey
1558422766- Practice location
- 695 US Highway 46, Suite 400A, Fairfield, NJ 07004-1592
- Phone
- 973-826-8080
- Fax
- 866-309-3354
- Last updated
- May 21, 2019
Roman Matsouk is a Physician Assistant, Surgical based in Fairfield, NJ. Roman Matsouk practices in Fairfield, NJ and has the professional credentials of PA-C. The NPI Number for Roman Matsouk is 1558422766 and holds a License No. 2SMP00172500 (NJ). The current practice location address for Roman Matsouk is 695 US Highway 46, Suite 400A, Fairfield, NJ 07004-1592 and can be reached out via phone at 973-826-8080 and via fax at 866-309-3354.
Provider Profile Details
- NPI Number
- 1558422766
- Provider Name
- Roman Matsouk
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 695 US Highway 46, Suite 400A, Fairfield, NJ 07004-1592
- Phone Number
- 973-826-8080
- Fax Number
- 866-309-3354
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 12, 2006
- Last Update Date
- May 21, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 695 US Highway 46
Suite 400A
Fairfield, NJ 07004-1592 - City
- Fairfield
- State
- New Jersey
- Zip
- 07004-1592
- Phone Number
- 973-826-8080
- Fax Number
- 866-309-3354
Provider Business Mailing Address Details
- Address
- Po Box 4059
Wayne, NJ 07474-4059 - City
- Wayne
- State
- NJ
- Zip
- 07474-4059
- Phone Number
- 973-826-8080
- Fax Number
- 866-309-3354
License Information
- License Number (1)
- 2SMP00172500
- License State (1)
- NJ
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 011450-1
- License State (2)
- NY
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X · Primary
- License Number (3)
- 25MP00172500
- License State (3)
- NJ
- Taxonomy (3)
- Physician Assistant, Surgical · 363AS0400X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Surgical providers near Fairfield, NJ
View all Physician Assistant, Surgical providers in Fairfield →- Mr. Carlo Opont, PA-CPhysician Assistant, Surgical · NPI 1023281664
- Mr. Luke R Carey, PACPhysician Assistant, Surgical · NPI 1982935987
- Mr. Petko P Mitev, PA-CPhysician Assistant, Surgical · NPI 1881981348
- Ms. Marjorie C Francis, PA-CPhysician Assistant, Surgical · NPI 1295978930
- Myra C Lazzaro, PA-CPhysician Assistant, Surgical · NPI 1447373907
- Sweta G Dalsania, PA-CPhysician Assistant, Surgical · NPI 1962787986
Frequently Asked Questions
What is the NPI number of Roman Matsouk, PA-C?
The NPI number of Roman Matsouk, PA-C is 1558422766. It was assigned on December 12, 2006 and is currently active in the NPPES registry.
What is the specialty of Roman Matsouk, PA-C?
Roman Matsouk, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 2SMP00172500.
Where does Roman Matsouk, PA-C practice?
The practice location is 695 US Highway 46, Suite 400A, Fairfield, NJ 07004-1592. The office can be reached at 973-826-8080 (phone) or 866-309-3354 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558422766 directly on the NPPES registry website.