Marwa Moussa Physician PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

262886 Issued in NY

Legal business name

MARWA MOUSSA PHYSICIAN PC

Practice address

22 Putters CT
Staten Island, NY 10301-3368

Phone

(917) 605-5133

Fax

(718) 682-1059

NPI assigned

Feb 1, 2013

Organization subpart

No

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

Authorized official

Name

Marwa Moussa, M.D.

Title

President

Phone

(917) 605-5133

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1598004111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PUTTERS CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013368",
            "telephone_number": "917-605-5133",
            "fax_number": "718-682-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PUTTERS CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013368",
            "telephone_number": "917-605-5133",
            "fax_number": "718-682-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARWA MOUSSA PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "MOUSSA",
        "authorized_official_first_name": "MARWA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-605-5133",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "262886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inna Martyniuk, MS
• Marissa Ann Marucci, BA, MD
• Yolanda Marull
• Danguole Marullo I
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• Internal Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.