Elie Soussan (NPI# 1891958674, PAC ID# 6103051511) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1891958674 |
| PAC ID by PECOS | 6103051511 |
| Professional Enrollment ID | I20131021000118 |
| Full Name | Elie Soussan |
| Organization Legal Name | A WOMAN'S PLACE LLC |
| Address |
820 E County Line Rd Lakewood NJ 08701-2078 |
| Phone Number | 7323642711 |
| Gender | M |
| Medical School | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4688681059 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310075 | MONMOUTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 820 E County Line Rd, Lakewood, NJ 08701-2078 | 7323642711 | A WOMAN'S PLACE LLC |
| 820 E County Line Rd, Suite 1, Lakewood, NJ 08701-2078 | 7323642711 | A WOMAN'S PLACE LLC |
| Organization Legal Name | A WOMAN'S PLACE LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine A Bohnert | Obstetrics/gynecology | A Woman's Place LLC | 34 Sycamore Ave, Suite 2a, Little Silver, NJ 07739-1248 |
| Anthony Giovine | Obstetrics/gynecology | A Woman's Place LLC | 34 Sycamore Ave, Suite 2a, Little Silver, NJ 07739-1248 |
| Abigail E Wright | Obstetrics/gynecology | A Woman's Place LLC | 34 Sycamore Ave, Suite 2a, Little Silver, NJ 07739-1248 |
| Vaishali C Moghe | Obstetrics/gynecology | A Woman's Place LLC | 34 Sycamore Ave, Suite 2a, Little Silver, NJ 07739-1248 |
| Kristina Kohler | Certified Nurse Midwife | A Woman's Place LLC | 820 E County Line Rd, Lakewood, NJ 08701-2078 |
| Lee Clay | Certified Nurse Midwife | A Woman's Place LLC | 34 Sycamore Ave, 2a, Little Silver, NJ 07739-1248 |
| Street Address |
820 E COUNTY LINE RD |
| City | LAKEWOOD |
| State | NJ |
| Zip | 08701-2078 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristina Kohler | Certified Nurse Midwife | A Woman's Place LLC | 820 E County Line Rd, Lakewood, NJ 08701-2078 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey H Levin | Chiropractic | 1300 W County Line Rd, Lakewood, NJ 08701-1112 | |
| Carmen Otalora | Chiropractic | 1300 W County Line Rd, Lakewood, NJ 08701-1112 | |
| Jessica Fischetti Galvin | Obstetrics/gynecology | Lifeline Medical Associates, LLC | 590 W Kennedy Blvd, Moty Tal Md, Lakewood, NJ 08701-1241 |
| Sardana Belkin | Obstetrics/gynecology | Lifeline Medical Associates, LLC | 590 W Kennedy Blvd, Moty Tal Md, Lakewood, NJ 08701-1241 |
| Kathryn A Nesci | Nurse Practitioner | Lifeline Medical Associates, LLC | 590 W Kennedy Blvd, Moty Tal Md, Lakewood, NJ 08701-1241 |
| Pessie L Kronglas | Physician Assistant | Lakewood Resource and Referral Center Inc | 1771 Madison Ave, Lakewood, NJ 08701-1251 |
| Albert Endler | Nurse Practitioner | Lakewood Resource and Referral Center Inc | 1771 Madison Ave, Lakewood, NJ 08701-1251 |
| Yaakov Schechter | Physician Assistant | Lakewood Resource and Referral Center Inc | 1771 Madison Ave, Lakewood, NJ 08701-1251 |
| Katherine L Gallagher | Physician Assistant | Lakewood Resource and Referral Center Inc | 1771 Madison Ave, Lakewood, NJ 08701-1251 |
| Hinda Burstein | Registered Dietitian Or Nutrition Professional | Lakewood Resource and Referral Center Inc | 1771 Madison Ave, Lakewood, NJ 08701-1251 |
| Find all physicians in zip 08701 | |||
| City | LAKEWOOD |
| Zip Code | 08701 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | LAKEWOOD + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Elie Soussan.
| 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.