MS. ANISSA MOUHOUBI PA-C
NPI 1265312466
Physician Assistant - Surgical in Brooklyn, NY

Active since September 08, 2025PECOS Enrolled
451 CLARKSON AVE, BROOKLYN, NY 11203(844) 692-4692 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Ms. Anissa Mouhoubi Pa-c NPPES

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

MS. ANISSA MOUHOUBI PA-C (NPI 1265312466) is an individual surgical provider in Brooklyn, New York, licensed in New York (034050) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265312466
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. ANISSA MOUHOUBICredential: PA-C
Location Address451 CLARKSON AVEBrooklyn, NY 11203-2097
Mailing Address6901 21st Ave Apt 4gBrooklyn, NY 11204-5427 · (646) 250-3508
Sole ProprietorYes
Enumeration DateSeptember 8, 2025
NPPES CertifiedSeptember 7, 2025
✔ NPI 1265312466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 034050
451 CLARKSON AVE, Brooklyn, NY 11203

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Anissa Mouhoubi Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
451 CLARKSON AVE
BROOKLYN, NY 11203
Obstetrics & Gynecology
451 CLARKSON AVE
BROOKLYN, NY 11203
Pediatrics (Pediatric Hematology-Oncology)
451 CLARKSON AVE, KINGS COUNTY HOSPITAL CENTER; B 6202
BROOKLYN, NY 11203
General Acute Care Hospital
451 CLARKSON AVE
BROOKLYN, NY 11203
Internal Medicine
451 CLARKSON AVE, BOX 22
BROOKLYN, NY 11203
Psychologist
451 CLARKSON AVE
BROOKLYN, NY 11203
Emergency Medicine
451 CLARKSON AVE
BROOKLYN, NY 11203
Anesthesiology
451 CLARKSON AVE
BROOKLYN, NY 11203

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 Anissa Mouhoubi's NPI number?

The NPI number for Anissa Mouhoubi is 1265312466. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Where is Anissa Mouhoubi located?

Anissa Mouhoubi practices at 451 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (844) 692-4692.

What is Anissa Mouhoubi's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Anissa Mouhoubi enrolled in Medicare?

Yes. Anissa Mouhoubi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anissa Mouhoubi was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.