Active NPIIndividual provider

Ray Moussa

Allergy & Immunology in Fair Lawn, New Jersey

NPI Number1255956819
Practice location
17-17 Route 208 Fl 3, Fair Lawn, NJ 07410-2820
Fax
—
Last updated
August 11, 2025

Ray Moussa is an Allergy & Immunology based in Fair Lawn, NJ. Ray Moussa practices in Fair Lawn, NJ. The NPI Number for Ray Moussa is 1255956819 and holds a License No. 25MB12808200 (NJ). The current practice location address for Ray Moussa is 17-17 Route 208 Fl 3, Fair Lawn, NJ 07410-2820 and can be reached out via phone at 201-414-5095.

Provider Profile Details

NPI Number
1255956819
Provider Name
Ray Moussa
Provider Entity Type
Individual
Gender
Male
Address
17-17 Route 208 Fl 3, Fair Lawn, NJ 07410-2820
Phone Number
201-414-5095
Primary Taxonomy
Allergy & Immunology · 207K00000X
Sole Proprietor
No
Provider Enumeration Date
June 10, 2020
Last Update Date
August 11, 2025
Certification Date
August 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
17-17 Route 208 Fl 3
Fair Lawn, NJ 07410-2820
Zip
07410-2820
Phone Number
201-414-5095
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
1 Diamond Hill RD
Berkeley Heights, NJ 07922-2104
City
Berkeley Heights
State
NJ
Zip
07922-2104

License Information

License Number
25MB12808200
License State
NJ
Taxonomy
Allergy & Immunology · 207K00000X · 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 Ray Moussa?

The NPI number of Ray Moussa is 1255956819. It was assigned on June 10, 2020 and is currently active in the NPPES registry.

What is the specialty of Ray Moussa?

Ray Moussa is registered under the primary taxonomy Allergy & Immunology (code 207K00000X), licensed in NJ under license number 25MB12808200.

Where does Ray Moussa practice?

The practice location is 17-17 Route 208 Fl 3, Fair Lawn, NJ 07410-2820. The office can be reached at 201-414-5095 (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 1255956819 directly on the NPPES registry website.

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