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

Roman Matsouk, PA-C

Individual provider Physician Assistant · NPI 1558422766

Roman Matsouk, PA-C is a Physician Assistant in Fairfield, New Jersey. Licensed in New Jersey and New York. Registered with an NPI since 2006.

Licensed in
NJ, NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

695 US Highway 46 Ste 400A
Fairfield, NJ 07004-1592
Phone: (973) 826-8080
Fax: (866) 309-3354
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 011450-1 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 2SMP00172500 (NJ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 25MP00172500 (NJ)

Record details

NPI number1558422766
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 12, 2006
Last updated in NPPESMay 21, 2019

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