Cardiovascular Services of Dr Tarek Mousa PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

259363 Issued in NY

Legal business name

CARDIOVASCULAR SERVICES OF DR TAREK MOUSA PC

Practice address

2427 Steinway St
Astoria, NY 11103-3654

Phone

(929) 208-0080

Fax

(929) 208-0010

NPI assigned

Mar 21, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tarek M Mousa, MD, PHDNPI 1013177757

Title

Owner

Phone

(347) 556-7769

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tarek Mohamed Mousa, MD, PHD

  • Cardiovascular Disease Physician
  • Astoria, NY
  • NPI 1013177757
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505174400000",
    "number": "1104243633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 STEINWAY STREET",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11103",
            "telephone_number": "929-208-0080",
            "fax_number": "929-208-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033654",
            "telephone_number": "929-208-0080",
            "fax_number": "929-208-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR SERVICES OF DR TAREK MOUSA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2017-09-12",
        "status": "A",
        "authorized_official_last_name": "MOUSA",
        "authorized_official_first_name": "TAREK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-556-7769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "259363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Joseph Caponigro, DPM
• Lily Cappetta, RDN, CDN
• Rhea Caratao-Mojica, NURSE PRACTITIONER
• Bryan Carbajal-Borja I
• John Manuel Cardenas, RN
• Adam Victor Cardoza
• Paolo James Cardoza, DPT
• Caring Hand, NP in Family & Psychiatric Health, P.C.
• Daniel Min Carlson, L.AC.
• Reena Carmen, LCSW

• Cardiovascular Disease Physician in Astoria, NY
• Providers in Astoria, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.