Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Roman Matsouk, PA-C

Surgical Physician Assistant in Fairfield, NJ · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558422766

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Registry record

Entity type Individual (Type 1)

Name Roman Matsouk

Credential PA-C

Sex Male

Practice address 695 Us Highway 46, Suite 400a, Fairfield, NJ, 07004

Phone (973) 826-8080

Fax (866) 309-3354

Enumeration date Dec 12, 2006

Last updated in NPPES May 21, 2019

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 2SMP00172500 (NJ) Secondary

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 011450-1 (NY) Primary

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 25MP00172500 (NJ) Secondary

Other identifiers

Identifier	Type	State	Issuer
116532ZJ5N	Other	NJ	PTAN SURGERY SERVICES
0429294	Medicaid	NJ	-
116532YP69	Other	NJ	PTAN QUALITY SURGICAL SERVICES

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Roman Matsouk's NPI record?

Cross-check NPI 1558422766 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1558422766 active?

Yes, as of the latest NPPES snapshot, NPI 1558422766 is active (record last updated 2019-05-21).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-05-21.