Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elie R Soussan, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1891958674

Elie R Soussan, MD is an Obstetrics/Gynecology in Little Silver, New Jersey. Qualified in 2006, 20 years ago. Practices with Lifeline Medical Associates LLC, a 151-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
20
Licensed in
NJ
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

34 Sycamore Ave Ste 2A
Little Silver, NJ 07739-1228
Phone: (732) 747-9310
Fax: (732) 747-9320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 25MA08834200 (NJ)

Record details

NPI number1891958674
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2008
Last updated in NPPESMarch 3, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Lifeline Medical Associates Llc — 151 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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