Roman Matsouk (NPI# 1558422766, PAC ID# 7719071059) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1558422766 |
| PAC ID by PECOS | 7719071059 |
| Professional Enrollment ID | I20070918000499 |
| Full Name | Roman Matsouk |
| Organization Legal Name | SURGERY SERVICES |
| Address |
695 Us Hwy 46 Suite 400a Fairfield NJ 07004-1568 |
| Phone Number | 9738941263 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6305068529 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310048 | ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET |
| 310108 | JFK MEDICAL CENTER |
| 330273 | PUTNAM HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 | 9738941263 | SURGERY SERVICES |
| 695 Us Hwy 46 400a, Fairfield, NJ 07004-1592 | 9738268080 | BARRY A COHEN, LLC |
| 254 Cedar Hill Ave, Nyack, NY 10960-2425 | 9738268080 | MEDICAL QUALIFIED SERVICE OF SUFFOLK AND NASSAU COUNTIES PLLC |
| Organization Legal Name | SURGERY SERVICES |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlo Opont | Physician Assistant | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| James M Maginnis | Physician Assistant | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Niranjan K Penupatruni | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Mary F Welsh | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Harendra Mehta | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Ricki M Henry | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Richard Masterson | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Pamela B Kopelove | Obstetrics/gynecology | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Eric A Runquist | Physician Assistant | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Hassan M Elmansoury | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Street Address |
695 US HWY 46 SUITE 400A |
| City | FAIRFIELD |
| State | NJ |
| Zip | 07004-1568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlo Opont | Physician Assistant | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| James M Maginnis | Physician Assistant | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Niranjan K Penupatruni | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Mary F Welsh | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Harendra Mehta | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Ricki M Henry | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Richard Masterson | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Pamela B Kopelove | Obstetrics/gynecology | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Eric A Runquist | Physician Assistant | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Hassan M Elmansoury | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark J Pesner | Psychologist, Clinical | 271 Us 46, G101, Fairfield, NJ 07004 | |
| Arthur J Torre | Allergy/immunology | 25 Hollywood Ave, Fairfield, NJ 07004-1113 | |
| Paul Rudolph Scollo | Podiatry | 32 Jorgenson Ln, Fairfield, NJ 07004-1216 | |
| Sarfaraz Ahmad | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Myra Lazzaro | Physician Assistant | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Honora W Valane | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Roman Markh | Physician Assistant | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Darlene Pierre Pierre | Physician Assistant | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Michael J Hess Jr. | Physician Assistant | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Luisa Guena | General Surgery | Surgery Services | 695 Us Hwy 46, Suite 400a, Fairfield, NJ 07004-1568 |
| Find all physicians in zip 07004 | |||
| City | FAIRFIELD |
| Zip Code | 07004 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FAIRFIELD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Roman Matsouk.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.