ERIC SOULT – Medical Physician Assistant, NPI 1669916557

ERIC SOULT is a healthcare provider. based in Mount holly, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold a License No. 25MP00412000 (NJ). The NPI Number for ERIC SOULT is 1669916557

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
ERIC SOULT
NPI
1669916557
Phone
(609) 284-7312
Address
108 Ridgeway St
Enumeration Date
12 December 2016
Last Update Date
8 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2155294240
Graduation Year
2016 (10 years ago)
PAC ID
4587947148
Group Practice PAC ID
3072425123
Professional Enrollment ID
I20180214000771
Address ID
PA189512345QU320XXROAD501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

Provider Addresses for ERIC SOULT

  • 108 Ridgeway St

    Mount Holly, NJ 080601440

    Phone: (609) 284-7312

    Type: Location

  • 4 BURTON LN

    STE 100

    MULLICA HILL, NJ 080629441

    Phone: (856) 241-3838

    Fax: (856) 241-3849

    Type: Mailing

  • 2100 MACK BLVD

    ALLENTOWN, PA 181035622

    Phone: (484) 884-4500

    Type: Mailing

  • 1431 NURSERY ST STE 101

    FOGELSVILLE, PA 180511612

    Phone: (484) 273-4343

    Type: Location

  • 108, Ridgeway Street, Mount Holly, Mount Holly Township, Burlington County, New Jersey, 08060, United States

    MOUNT HOLLY, NJ 080601440

    Phone: (609) 284-7312

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-02-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170207000378IPhysician AssistantNJTBD
I20180214000771IPhysician AssistantPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes14443$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes14254$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes10346$0
99497Advance care planning, first 30 minutes2827$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes1611$0
View full utilization report →

Insurance plans in this area (ZIP 08060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072425123View full group profile

Reviews

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Frequently asked questions

What is ERIC SOULT's NPI number?
ERIC SOULT's NPI is 1669916557 — the number used across U.S. healthcare to identify this provider.
Is there an active status for ERIC SOULT?
For scheduling context, ERIC SOULT is shown as active in the registry.
What kind of doctor is ERIC SOULT?
ERIC SOULT is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in New Jersey is ERIC SOULT registered?
Use Mount Holly, New Jersey as the headline location for ERIC SOULT here.
Does ERIC SOULT accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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