OLESYA SOLOUK


Address: 200 S Orange Ave Ste 295, Livingston, NJ 07039-5817
Phone: 2014491000

OLESYA SOLOUK (NPI# 1255992178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255992178
Entity Type Individual
Full Name OLESYA SOLOUK
Credential PA-C
Practice Address 200 S Orange Ave Ste 295
Livingston
NJ 07039-5817
Mailing Address 155 Main St
Lebanon
NJ 08833-2136
Practice Telephone 2014491000
Mailing Telephone 9084565177
Enumeration Date 2019-06-21
Last Update Date 2019-06-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 200 S ORANGE AVE STE 295
City LIVINGSTON
State NJ
Zip Code 07039-5817

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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851849830 Jennifer Weiner Physician Assistant 200 S Orange Ave Ste 102, Livingston, NJ 07039-5817 2016-09-19
1437556727 Elizabeth Cooper Shirley Physician Assistant 200 S Orange Ave Ste 203, Livingston, NJ 07039-5817 2014-12-02
1912941022 Scott Christian Woehrle Physician Assistant 239 West Northfield Road, Livingston, NJ 07039 2006-06-16
1992747182 Yelena Khmelnitsky Physician Assistant 33 Wilson Ter, Livingston, NJ 07039-2940 2006-06-12
1871119198 Jessica Lynn Brown Physician Assistant 200 S Orange Ave, Livingston, NJ 07039-5817 2020-06-23
1477054641 Shivangi R Patel Physician Assistant 200 S Orange Ave, Livingston, NJ 07039-5817 2018-02-23
1689084923 Samantha Bickerton Physician Assistant 94 Old Short Hills Rd, Livingston, NJ 07039-5672 2014-05-07
1508175589 Diana Saidac Physician Assistant 94 Old Short Hills Rd, Livingston, NJ 07039-5672 2010-09-24
1689816746 Intralign Nj, PC Physician Assistant 94 Old Short Hills Road, Livingston, NJ 07039 2009-04-03
1528289279 Erin Lynne Vermeulen Physician Assistant Saint Barnabas Medical Center, 94 Old Short Hills Rd, Livingston, NJ 07039 2007-05-01
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Competitor

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City LIVINGSTON
Zip Code 07039

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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