MARYANN SOUS PA-C
NPI 1962879262
Physician Assistant - Medical in Englewood, NJ

Active since August 21, 2015PECOS EnrolledAccepts Medicare Assignment
350 ENGLE ST, ENGLEWOOD, NJ 07631(201) 894-3636 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2025, Feb 8, 2019 (2 updates tracked since 2019).

About Maryann Sous Pa-c NPPES

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

MARYANN SOUS PA-C (NPI 1962879262) is an individual medical provider in Englewood, New Jersey, licensed in New Jersey (25MP00391600) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and maintains a secondary practice location in Wynnewood.

NPPES Registry Identity

NPI1962879262
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARYANN SOUSCredential: PA-C
Location Address350 ENGLE STEnglewood, NJ 07631-1808
Mailing Address100 E Lancaster AveWynnewood, PA 19096-3450 · (484) 476-1000 · Fax (484) 476-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 21, 2015
Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
NPI 1962879262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in NJ · 25MP00391600 Licensed in PA · MA060141
350 ENGLE ST, Englewood, NJ 07631

Secondary Practice Location 1

Location 1100 E Lancaster AveWynnewood, PA 19096-3450 · Phone (484) 476-1000 · Fax (484) 476-9000

Other Identifiers 1

Medicaid0867586NJ

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

Maryann Sous Pa-c 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 ID4981949666
PECOS Enrollment IDI20221228000194
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.

Hospital Affiliations CMS Care Compare

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Internal Medicine
350 ENGLE ST, ENGLEWOOD HOSPITAL-DEPARTAMENT OF MEDICINE
ENGLEWOOD, NJ 07631
Pathology (Anatomic Pathology & Clinical Pathology)
350 ENGLE ST, DEPT. OF PATHOLOGY
ENGLEWOOD, NJ 07631
Specialist
350 ENGLE ST, SUITE 5N
ENGLEWOOD, NJ 07631
Anesthesiology
350 ENGLE ST
ENGLEWOOD, NJ 07631
Obstetrics & Gynecology (Gynecology)
350 ENGLE ST, 5 WEST
ENGLEWOOD, NJ 07631
Nurse Practitioner (Adult Health)
350 ENGLE ST
ENGLEWOOD, NJ 07631
Nurse Anesthetist, Certified Registered
350 ENGLE ST
ENGLEWOOD, NJ 07631
Student in an Organized Health Care Education/Training Program
350 ENGLE ST
ENGLEWOOD, NJ 07631

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 Maryann Sous's NPI number?

The NPI number for Maryann Sous is 1962879262. It was assigned to this individual provider in the NPPES registry on August 21, 2015.

Where is Maryann Sous located?

Maryann Sous practices at 350 Engle St, Englewood, NJ 07631. The listed phone number is (201) 894-3636.

What is Maryann Sous's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Maryann Sous enrolled in Medicare?

Yes. Maryann Sous 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.

Is Maryann Sous affiliated with any hospitals?

According to CMS data, Maryann Sous is affiliated with Robert Wood Johnson University Hospital.

When was this NPI record last updated?

The NPPES record for Maryann Sous was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.