| Jennifer Souh, | |
|
223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | |
| (201) 847-9320 | |
| Not Available |
| Full Name | Jennifer Souh |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 19 Years |
| Location | 223 N Van Dien Ave, Ridgewood, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235373176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 25MA089965 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Valley Hospital | Ridgewood, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bergen Anesthesia Group, P.c. | 6608861794 | 46 |
| Entity Name | Bergen Anesthesia Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194816249 PECOS PAC ID: 6608861794 Enrollment ID: O20040419000098 |
| Entity Name | Valley Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467815928 PECOS PAC ID: 3577857333 Enrollment ID: O20160802002824 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Souh, 500 W Main St Ste 16, Wyckoff, NJ 07481-1406 Ph: (201) 847-9320 | Jennifer Souh, 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 Ph: (201) 847-9320 |
Erik Wohlfarth, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-847-9320 | |
Evelyn Bae, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-847-9320 | |
Dr. John P Lee, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8000 | |
Dr. Joseph Michael Aloi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8000 | |
Dr. Richard F Iannacone, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: Valley Hospital, 233 Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8000 | |
Dr. Thomas Johnson, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-847-9320 |