MEDICARE: ARIADNE P COUSOULAS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	25MP00132000	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215197058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIADNE P COUSOULAS PA-C

Provider Business Mailing Address
First Line	:	230 WEST PARKWAY
Second Line	:	UNIT #10
City	:	POMPTON PLAINS
State	:	NJ
Zip	:	07440
Country	:	US
Telephone Number	:	973-835-0800
Fax Number	:	973-616-2766

Provider Business Practice Location Address
First Line	:	637 ROUTE 23 STE 300
Second Line	:
City	:	POMPTON PLAINS
State	:	NJ
Zip	:	07444-1419
Country	:	US
Telephone Number	:	862-666-9210
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2008
Last Update Date	:	01/29/2024

Similar Medicare Providers

1457483877 — SENSUAL EYES INC.
Practice Location Address:

565 RTE 23
POMPTON PLAINS, NJ
07444-1419

Practice Phone: 973-839-1865
Practice Fax: 973-839-5138

1598149643 — HABIB HABIB
Practice Location Address:

637 ROUTE 23 STE 100
POMPTON PLAINS, NJ
07444-1419

Practice Phone: 862-666-9210
Practice Fax:

1962065276 — DR. CHRISTOPHER BIGGIANI MD
Practice Location Address:

637 ROUTE 23 STE 100
POMPTON PLAINS, NJ
07444-1419

Practice Phone: 862-297-9696
Practice Fax:

1780547273 — SAYRE PSYCHOLOGY LLC
Practice Location Address:

2429 RICHELIEU PL
SCOTCH PLAINS, NJ
07076-1419

Practice Phone: 908-219-9029
Practice Fax:

1417220146 — DR. ROTANNA I ADEFOWOKAN MD
Practice Location Address:

97 W PARKWAY
POMPTON PLAINS, NJ
07444-1647

Practice Phone: 732-423-0761
Practice Fax:

1659376713 — DR. PETER THOMAS ORLIC MD
Practice Location Address:

1 CEDAR CREST VILLAGE DR
POMPTON PLAINS, NJ
07444-2100

Practice Phone: 973-831-3540
Practice Fax: 973-831-3503

Directions to “ ARIADNE P COUSOULAS PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.