Active NPIIndividual providerSole proprietor

Dr. Mohammad-Ali Mousavi, DO

Radiology, Vascular & Interventional Radiology in Newark, New Jersey

NPI Number1225398761
Practice location
201 Lyons Ave, Newark, NJ 07112-2027
Fax
—
Last updated
May 2, 2024

Mohammad-Ali Mousavi is a Radiology, Vascular & Interventional Radiology based in Newark, NJ. Mohammad-Ali Mousavi practices in Newark, NJ and has the professional credentials of DO. The NPI Number for Mohammad-Ali Mousavi is 1225398761 and holds a License No. 25MB08686700 (NJ). The current practice location address for Mohammad-Ali Mousavi is 201 Lyons Ave, Newark, NJ 07112-2027 and can be reached out via phone at 973-926-7000.

Provider Profile Details

NPI Number
1225398761
Provider Name
Mohammad-Ali Mousavi
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
201 Lyons Ave, Newark, NJ 07112-2027
Phone Number
973-926-7000
Sole Proprietor
Yes
Other Names
Dr. Ali Mousavi, DO (Other Name)
Provider Enumeration Date
May 17, 2012
Last Update Date
May 2, 2024
Certification Date
May 2, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Lyons Ave
Newark, NJ 07112-2027
City
Newark
Zip
07112-2027
Phone Number
973-926-7000
Newark, NJ 07112Get directions →

Provider Business Mailing Address Details

Address
5 Donna Dr
Edison, NJ 08820-2117
City
Edison
State
NJ
Zip
08820-2117
Phone Number
732-261-0628

License Information

License Number (1)
25MB08686700
License State (1)
NJ
Taxonomy (1)
Nuclear Medicine · 207U00000X
License Number (2)
275699
License State (2)
NY
Taxonomy (2)
Nuclear Medicine · 207U00000X
License Number (3)
25MB08686700
License State (3)
NJ
Taxonomy (3)
Radiology, Diagnostic Radiology · 2085R0202X
License Number (4)
275699
License State (4)
NY
Taxonomy (4)
Radiology, Diagnostic Radiology · 2085R0202X
License Number (5)
275699
License State (5)
NY
License Number (7)
25MB08686700
License State (7)
NJ
Taxonomy (7)
Radiology, Vascular & Interventional Radiology · 2085R0204X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mohammad-Ali Mousavi, DO?

The NPI number of Dr. Mohammad-Ali Mousavi, DO is 1225398761. It was assigned on May 17, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Mohammad-Ali Mousavi, DO?

Dr. Mohammad-Ali Mousavi, DO is registered under the primary taxonomy Radiology, Vascular & Interventional Radiology (code 2085R0204X), licensed in NJ under license number 25MB08686700.

Where does Dr. Mohammad-Ali Mousavi, DO practice?

The practice location is 201 Lyons Ave, Newark, NJ 07112-2027. The office can be reached at 973-926-7000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225398761 directly on the NPPES registry website.

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