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RAY MOUSSA
NPI 1255956819
Allergy & Immunology in Fair Lawn, NJ

Active since June 10, 2020PECOS EnrolledAccepts Medicare Assignment
17-17 ROUTE 208 FL 3, FAIR LAWN, NJ 07410(201) 414-5095 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2025, Aug 8, 2025, Jun 10, 2020 (3 updates tracked since 2020).

About Ray Moussa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAY MOUSSA (NPI 1255956819) is an individual allergy & immunology provider in Fair Lawn, New Jersey, licensed in New Jersey (25MB12808200) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Montclair, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2021).

NPPES Registry Identity

NPI1255956819
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameRAY MOUSSA
Location Address17-17 ROUTE 208 FL 3Fair Lawn, NJ 07410-2820
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104
Phone(201) 414-5095
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2021
Enumeration DateJune 10, 2020
Last NPPES UpdateAugust 11, 20253 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1255956819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in NJ · 25MB12808200
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
17-17 ROUTE 208 FL 3, Fair Lawn, NJ 07410
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Secondary Practice Location 1

Location 11 Seymour St Ste 7Montclair, NJ 07042-3772 · Phone (973) 235-0090

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ray Moussa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426551201
PECOS Enrollment IDI20250910000431
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ray Moussa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group PA
23 mi
Multi-Specialty
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,184 clinicians in this Medicare group
NPI 1942254347 (908) 273-4300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ray Moussa's NPI number?

The NPI number for Ray Moussa is 1255956819. It was assigned to this individual provider in the NPPES registry on June 10, 2020.

Where is Ray Moussa located?

Ray Moussa practices at 17-17 Route 208 Fl 3, Fair Lawn, NJ 07410. The listed phone number is (201) 414-5095.

What is Ray Moussa's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Ray Moussa enrolled in Medicare?

Yes. Ray Moussa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ray Moussa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ray Moussa reassigns Medicare benefits to Summit Medical Group PA (Berkeley Heights, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ray Moussa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ray Moussa was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.