Olesya Solouk, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

200 S Orange Ave Ste 295
Livingston, NJ 07039-5817

Phone

(201) 449-1000

NPI assigned

Jun 21, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Coast Advanced Plastic Surgery LLC

  • Plastic Surgery Physician
  • Hoboken, NJ
  • NPI 1023306172
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1255992178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MAIN ST",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088332136",
            "telephone_number": "908-456-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ORANGE AVE STE 295",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395817",
            "telephone_number": "201-449-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOUK",
        "first_name": "OLESYA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Social Behavior Learning Solutions, LLC
• Alexa Sodano, FNP-BC
• Ashley Rose Moretto Sofio, LPAT, LPC, ATR-BC
• Danielle Lynn Solazzo, PA-C
• Leah Soliman, OTD, OTR/L
• Joann Somers, M.D.
• Adrian Sondheimer, MD
• Cherry Song, D.O.
• Agnes Oana Soni, MD
• Girish Soni

• Surgical Physician Assistant in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Surgical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.