Suleiman Tsawat Soud, CNA
Individual provider Active NPI Nurse's Aide · Wildwood, NJ
NPI 1386863702 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386863702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- NA8348163 (NJ)
- Practice address
- 4014 Arctic Ave
Wildwood, NJ 08260-1925 - Phone
- (609) 972-1070
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA8348163 | NJ | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NA8348163 | NJ | Yes |
Addresses
Primary practice location
4014 Arctic Ave
Wildwood, NJ 08260-1925
Mailing address
4014 Arctic Avenue
Wildwood, NJ 08260
Phone (609) 972-1070
Other providers in Wildwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.