Roman Matsouk is a Physician Assistant in Wayne, New Jersey. Roman Matsouk practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Roman Matsouk is 1558422766. The last update date is 2019-05-21.
Roman Matsouk's current location address is Po Box 4059, Wayne, New Jersey. You can contact this provider via phone number 9738268080 and fax number 8663093354. The mailing address for Roman Matsouk is Po Box 4059, Wayne, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roman Matsouk |
|---|---|
| Address | Po Box 4059, Wayne, New Jersey |
| Phone Number | 9738268080 |
| Fax Number | 8663093354 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1558422766 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2019-05-21 |
Provider Mailing Address Detail
| Address | Po Box 4059 |
|---|---|
| City | Wayne |
| State | New Jersey (NJ) |
| Post Code | 74744059 |
| Phone Number | 9738268080 |
| Fax Number | 8663093354 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2SMP00172500 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 116532ZJ5N | NJ | PTAN SURGERY SERVICES | |
| 429294 | NJ | -- | |
| 116532YP69 | NJ | PTAN QUALITY SURGICAL SERVICES |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Roman Matsouk by the Centers for Medicare & Medicaid Services?
The Roman Matsouk has been issued the NPI (National Provider Identifier) 1558422766 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Roman Matsouk?
The Roman Matsouk is physically situated at Po Box 4059, in the city of Wayne, state of NJ, with the postal code 74744059.
What is Roman Matsouk's area of expertise and its corresponding taxonomy classification?
The Roman Matsouk's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Roman Matsouk receive its 1558422766 assignment from the Centers for Medicare & Medicaid Services?
The Roman Matsouk was assigned its 1558422766 on 2006-12-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Roman Matsouk, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Roman Matsouk, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-05-21.