Deborah Mossaiov

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06558200 Issued in NJ

Practice address

440 West St Ste 312
Fort Lee, NJ 07024-5028

Phone

(888) 242-2732

NPI assigned

May 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Avita Integrative Care, LLC

  • Clinical Psychologist
  • Teaneck, NJ
  • NPI 1821530148
  NPD (past)

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1124602297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 WEST ST STE 312",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245028",
            "telephone_number": "888-242-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 WEST ST STE 312",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245028",
            "telephone_number": "888-242-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSAIOV",
        "first_name": "DEBORAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06558200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Monane, MA, CCC-SLP
• Melissa Monteiro
• Sangrok Moon, D.C., L.AC.
• Moral Sports Medicine & Surgery LLC
• John A Mosolino, DPM
• Heba Moustafa
• Ms Footstop Inc.
• Christopher Mueller, D.P.T.
• Sukjong Mun
• My Vision Care Corpation

• Social Worker in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.