Organization Active NPI

Tarek M Mousa Physician PC

  • Specialist
  • Suffern, NY
National Provider Identifier
1295166973
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TAREK M MOUSA PHYSICIAN PC
Practice address
156 Route 59
Unit B2
Suffern, NY 10901-5005
Phone
(973) 784-4663
Fax
(973) 664-0161
NPI assigned
Dec 6, 2013
Last updated
Dec 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Authorized official

Name
Nita Patel
Title
Manager
Phone
(973) 784-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

156 Route 59
Unit B2
Suffern, NY 10901-5005

Mailing address

1081 Parsippany Blvd
Suite 103
Parsippany, NJ 07054-1291
Phone (973) 784-4663

National Provider Directory

National Provider Directory

Locations

1081 Parsippany Blvd
Ste 103
Parsippany, NJ 07054
Phone (718) 267-0510

NPI Registry JSON

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1295166973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 PARSIPPANY BLVD",
            "address_2": "SUITE 103",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541291",
            "telephone_number": "973-784-4663",
            "fax_number": "973-664-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 ROUTE 59",
            "address_2": "UNIT B2",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015005",
            "telephone_number": "973-784-4663",
            "fax_number": "973-664-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAREK M MOUSA PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-784-4663"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.