| Ariadne P Cousoulas, PA-C | |
|
637 Route 23 Ste 300, Pompton Plains, NJ 07444-1419 | |
| (862) 666-9210 | |
| Not Available |
| Full Name | Ariadne P Cousoulas |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 637 Route 23 Ste 300, Pompton Plains, 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 |
|---|---|---|---|
| 1215197058 | NPI | - | NPPES |
| 0430595 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 25MP00132000 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Englewood Hospital | Englewood, NJ | Hospital |
| Chilton Medical Center | Pompton plains, NJ | Hospital |
| Valley Hospital | Paramus, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Associates Of Englewood Pc | 1355512252 | 538 |
| Rt Bock Md Consultancy, Llc | 4183646151 | 6 |
| Entity Name | RT Bock MD Consultancy, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285651034 PECOS PAC ID: 4183646151 Enrollment ID: O20090918000161 |
| Entity Name | Medical Associates of Englewood PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952681918 PECOS PAC ID: 1355512252 Enrollment ID: O20110927000020 |
| Mailing Address | Practice Location Address |
|---|---|
| Ariadne P Cousoulas, PA-C 230 West Parkway, Unit #10, Pompton Plains, NJ 07440 Ph: (973) 835-0800 | Ariadne P Cousoulas, PA-C 637 Route 23 Ste 300, Pompton Plains, NJ 07444-1419 Ph: (862) 666-9210 |
Caitlyn A Horgan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12 Kenmore Rd, Pompton Plains, NJ 07444 Phone: 973-897-6532 |
Iryna Hauser, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 230 W Parkway Ste 10, Pompton Plains, NJ 07444 Phone: 973-835-0800 |
Mrs. Sarah Elizabeth Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 97 W Parkway, Pompton Plains, NJ 07444 Phone: 973-831-5120 Fax: 973-831-5342 |
Kimberly D Tankasali, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 97 W Parkway, Pompton Plains, NJ 07444 Phone: 973-831-5446 |
Mrs. Jennifer Leigh Destefano, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 230 West Parkway, Unit #10, Pompton Plains, NJ 07444 Phone: 973-835-0800 Fax: 973-616-2766 |
Christine Marie Hatter, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 242 W Parkway Ste 100, Pompton Plains, NJ 07444 Phone: 973-831-5043 Fax: 973-831-5790 |
Elka Rosanne Peter, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 97 W Parkway, Pompton Plains, NJ 07444 Phone: 973-831-5000 |