Active NPIIndividual provider

Gidon Coussin, PA-C

Physician Assistant in Livingston, New Jersey

NPI Number1700446895
Practice location
94 Old Short Hills RD, Livingston, NJ 07039-5672
Fax
—
Last updated
May 29, 2020

Gidon Coussin is a Physician Assistant based in Livingston, NJ. Gidon Coussin practices in Livingston, NJ and has the professional credentials of PA-C. The NPI Number for Gidon Coussin is 1700446895 and holds a License No. 25MP00525000 (NJ). The current practice location address for Gidon Coussin is 94 Old Short Hills RD, Livingston, NJ 07039-5672 and can be reached out via phone at 973-322-5000.

Provider Profile Details

NPI Number
1700446895
Provider Name
Gidon Coussin
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
94 Old Short Hills RD, Livingston, NJ 07039-5672
Phone Number
973-322-5000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 19, 2019
Last Update Date
May 29, 2020
Certification Date
May 29, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
94 Old Short Hills RD
Livingston, NJ 07039-5672
Zip
07039-5672
Phone Number
973-322-5000
Livingston, NJ 07039Get directions →

Provider Business Mailing Address Details

Address
66 Browning RD
Short Hills, NJ 07078-1142
City
Short Hills
State
NJ
Zip
07078-1142
Phone Number
917-478-3951

License Information

License Number (1)
25MP00525000
License State (1)
NJ
Taxonomy (1)
Emergency Medicine · 207P00000X
License Number (2)
25MP00525000
License State (2)
NJ
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gidon Coussin, PA-C?

The NPI number of Gidon Coussin, PA-C is 1700446895. It was assigned on June 19, 2019 and is currently active in the NPPES registry.

What is the specialty of Gidon Coussin, PA-C?

Gidon Coussin, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00525000.

Where does Gidon Coussin, PA-C practice?

The practice location is 94 Old Short Hills RD, Livingston, NJ 07039-5672. The office can be reached at 973-322-5000 (phone).

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 1700446895 directly on the NPPES registry website.

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