Individual provider Active NPI

Mousa K Hamad, MD

  • Neurological Surgery Physician
  • Cedar Knolls, NJ
National Provider Identifier
1518499540
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MA12640600 Issued in NJ
Practice address
197 Ridgedale Ave Ste 225
Cedar Knolls, NJ 07927-2111
Phone
(862) 260-4265
NPI assigned
Mar 29, 2017
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 25MA12640600 NJ Primary
Neurological Surgery Physician 207T00000X 328617-01 NY

Addresses

Primary practice location

197 Ridgedale Ave Ste 225
Cedar Knolls, NJ 07927-2111

Mailing address

111 E 210TH St
Bronx, NY 10467-2401

Other practice location 1

525 East 68th Street
Starr Building 651
New York, NY 10065
Phone (212) 746-4684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241021000483 NY Practitioner - Neurosurgery 0547792152 Reassigns benefits to 1 organization
I20250519001264 NJ Practitioner - Neurosurgery 0547792152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Rutgers New Jersey Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maxim Brain and SpineGroup PAC ID 1557712981, 25 clinicians

Practice addresses (Care Compare)

197 Ridgedale Ave
Suite 225
Cedar Knolls, NJ 07927-2111
Phone (862) 260-4265

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion87
Laminectomy or laminotomy (partial removal of spine bones)57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
328617-01NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Neurological Surgery Current Accepting new patients
Weill Medical College of Cornell CurrentSince Aug 11, 2024 Accepting new patients
Maxim Brain and Spine Neurological Surgery CurrentSince Jul 1, 2025 Accepting new patients
Vista Pain Management, LLC CurrentSince Jul 1, 2025 Accepting new patients
Weill Medical College of Cornell Neurological Surgery CurrentSince Aug 11, 2024 Accepting new patients

Locations

197 Ridgedale Ave
Ste 225
Cedar Knolls, NJ 07927
Phone (862) 260-4265

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

310 Madison Ave
Ste 300
Morristown, NJ 07960
Phone (973) 285-7800

520 E 70th St
#651
New York, NY 10021
Phone (212) 746-2385

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

525 E 68th St
Bldg 651
New York, NY 10065
Phone (212) 746-4684

Interoperability endpoints

  • Direct secure messaging: mhamad561907@direct.ahsys.org
  • Direct secure messaging: mkh4002@direct.nyp.org

Organizations & group practices 5

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1518499540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 RIDGEDALE AVE STE 225",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272111",
            "telephone_number": "862-260-4265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 East 68th Street",
            "address_2": "Starr Building 651",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10065",
            "country_code": "US",
            "telephone_number": "212-746-4684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMAD",
        "first_name": "MOUSA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA12640600",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "328617-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

Verify at the official NPI Registry.