Georges Maxime Souffrant

Primary specialty

SpecialistTaxonomy code 174400000X

License

1324444 Issued in NY

Practice address

3333 Broadway Apt D7D
New York, NY 10031-8704

Phone

(954) 678-7903

NPI assigned

Apr 29, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Bebe Learning LLC

  • Early Intervention Provider Agency
  • Brooklyn, NY
  • NPI 1285291906
  NPD Authorized official
• Venus Care LLC

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • West Orange, NJ
  • NPI 1174322739
  NPD Authorized official

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1417392853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BROADWAY APT D7D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100318704",
            "telephone_number": "954-678-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BROADWAY APT D7D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100318704",
            "telephone_number": "954-678-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUFFRANT",
        "first_name": "GEORGES",
        "middle_name": "MAXIME",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1324444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destinee Soubannarath Gwee
• Megan Elizabeth Soucy, MS
• Rebekah Souder-Russo
• Susan J. Souder, LCSW
• Renee S Soufer, PHD
• Kimberly Terese Souffront, FNP
• Haesun Souh
• Kristen Soukup, LCSW
• Soul Dental Chelsea, P.C.
• Soul Dental West PLLC

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.