Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maryann Sous, PA-C

Individual provider Medical Physician Assistant · NPI 1962879262

Maryann Sous, PA-C is a Physician Assistant in Englewood, New Jersey. Qualified in 2015, 11 years ago. Practices with Rutgers Health-Rwj Neurosurgery Faculty, a 192-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
11
Licensed in
NJ, PA
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

350 Engle St
Englewood, NJ 07631-1808
Phone: (201) 894-3636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 E Lancaster Ave, Wynnewood, PA 19096-3450 — (484) 476-1000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 25MP00391600 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA060141 (PA)

Record details

NPI number1962879262
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 21, 2015
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Rutgers Health-Rwj Neurosurgery Faculty — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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