NPIMap

Individual provider Active NPI

Atef Mousa, DO

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1891006565
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A12792 Issued in CA
Practice address
322 Saint Pauls Ave
Apt #3
Jersey City, NJ 07306-5090
Phone
(201) 915-2000
NPI assigned
Jun 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A12792 CA Primary

Addresses

Primary practice location

322 Saint Pauls Ave
Apt #3
Jersey City, NJ 07306-5090

Mailing address

322 Saint Pauls Ave
Apt #3
Jersey City, NJ 07306-5090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140114000514 CA Practitioner - Internal Medicine 5597993824 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unified Health AssociatesGroup PAC ID 0749664910, 11 clinicians
Horizon Multicare Group IncGroup PAC ID 5294033734, 26 clinicians

Practice addresses (Care Compare)

44215 15TH St W
Suite 103
Lancaster, CA 93534-5503
Phone (661) 948-4429

44567 15TH St W
Lancaster, CA 93534-2803
Phone (661) 949-5524

Hospital & facility affiliations

  • Antelope Valley Home Care Home health agency, Lancaster, CA, CCN 057786
  • Newstart Home Health Inc Home health agency, Woodland Hills, CA, CCN 757145
  • Blue Sky Home Health Care, Inc Home health agency, Van Nuys, CA, CCN 059126
  • Tribute Home Health Care, Inc. Home health agency, Glendale, CA, CCN 757415
  • Brand Home Health Care Inc Home health agency, Glendale, CA, CCN 559447
  • Antelope Valley Hospital Hospital, Lancaster, CA, CCN 050056
  • Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204
  • Ridgecrest Regional Hospital Hospital, Ridgecrest, CA, CCN 051333
  • Antelope Valley Care Center Nursing home, Lancaster, CA, CCN 555456
  • Desert Canyon Post Acute, LLC Nursing home, Lancaster, CA, CCN 055307
  • Mirage Post Acute Nursing home, Lancaster, CA, CCN 056039
  • The Ellison John Transitional Care Center Nursing home, Lancaster, CA, CCN 555904

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A12792CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Multicare Group Inc Internal Medicine CurrentSince Feb 5, 2016 Accepting new patients
Unified Health Associates CurrentSince Sep 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Alderbrook, Inc. Past Accepting new patients
Lancaster Hospital Corporation Past Accepting new patients
Antelope Valley Health Care District Past Accepting new patients
Kenneth V. Miselis, M.D. Inc. Past Accepting new patients

Locations

44215 15th St W
Ste 103
Lancaster, CA 93534
Phone (661) 948-4429

44567 15th St W
Lancaster, CA 93534
Phone (661) 661-5524

1206 W Avenue J
Ste 100
Lancaster, CA 93534
Phone (661) 948-4429

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

44445 15th St W
Lancaster, CA 93534
Phone (661) 948-7501

1642 W Avenue J
Lancaster, CA 93534
Phone (661) 942-8463

43830 10th St W
Lancaster, CA 93534
Phone (661) 494-8600

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

19197 Golden Valley Rd
Santa Clarita, CA 91387
Phone (800) 820-7813

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/adcf8c94-9b00-4842-a377-0e772d7d3145/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Desert Canyon Post Acute LLCLancaster, CA, CCN 055307 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2024
Mar 12, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1891006565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 SAINT PAULS AVE",
            "address_2": "APT #3",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 SAINT PAULS AVE",
            "address_2": "APT #3",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065090",
            "telephone_number": "201-915-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSA",
        "first_name": "ATEF",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A12792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.