ELIE R SOUSSAN M.D.
NPI 1891958674
Obstetrics & Gynecology in Little Silver, NJ

Active since July 02, 2008PECOS EnrolledAccepts Medicare Assignment
34 SYCAMORE AVE, SUITE 2A, LITTLE SILVER, NJ 07739(732) 747-9310(732) 747-9320 Get Directions Write a Review

NPPES record last updated: March 3, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elie R Soussan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIE R SOUSSAN M.D. (NPI 1891958674) is an individual obstetrics & gynecology provider in Little Silver, New Jersey, licensed in New Jersey (25MA08834200) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Monmouth Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1891958674
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameELIE R SOUSSANCredential: M.D.
Location Address34 SYCAMORE AVE, SUITE 2ALittle Silver, NJ 07739-1228
Mailing Address34 Sycamore Ave, Suite 2aLittle Silver, NJ 07739-1228 · (732) 747-9310 · Fax (732) 747-9320
Fax(732) 747-9320
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 2, 2008
Last NPPES UpdateMarch 3, 2015
NPI 1891958674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NJ · 25MA08834200
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
34 SYCAMORE AVE, Little Silver, NJ 07739

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elie R Soussan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103051511
PECOS Enrollment IDI20131021000118
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07739 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
82%108 patients4/55-star benchmark: 93%
Cervical Cancer Screening
95%711 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
92%1,031 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
37%448 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
49%911 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 1% · 733 patients
1%733 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
34 SYCAMORE AVE, BUILDING 2
LITTLE SILVER, NJ 07739
Social Worker (Clinical)
34 SYCAMORE AVE, BUILDING 2
LITTLE SILVER, NJ 07739
Social Worker (Clinical)
34 SYCAMORE AVE, BUILDING 2
LITTLE SILVER, NJ 07739
Obstetrics & Gynecology
34 SYCAMORE AVE, SUITE 2A
LITTLE SILVER, NJ 07739
Psychologist (Clinical)
34 SYCAMORE AVE, BUILDING 2
LITTLE SILVER, NJ 07739
Advanced Practice Midwife
34 SYCAMORE AVE, 2A
LITTLE SILVER, NJ 07739
Advanced Practice Midwife
34 SYCAMORE AVE, SUITE 2A
LITTLE SILVER, NJ 07739
Obstetrics & Gynecology
34 SYCAMORE AVE, 2A
LITTLE SILVER, NJ 07739

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elie Soussan's NPI number?

The NPI number for Elie Soussan is 1891958674. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Elie Soussan located?

Elie Soussan practices at 34 Sycamore Ave Suite 2A, Little Silver, NJ 07739. The listed phone number is (732) 747-9310.

What is Elie Soussan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Elie Soussan enrolled in Medicare?

Yes. Elie Soussan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Elie Soussan accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Elie Soussan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Elie Soussan affiliated with any hospitals?

According to CMS data, Elie Soussan is affiliated with Monmouth Medical Center.

When was this NPI record last updated?

The NPPES record for Elie Soussan was last updated on March 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.