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ELAINE MOUSTAFELLOS MD
NPI 1962449207
Pediatrics - Pediatric Gastroenterology in Hackensack, NJ

Active since June 02, 2006PECOS Enrolled
155 POLIFLY RD, SUITE 102, HACKENSACK, NJ 07601(551) 996-8840(201) 441-9949 Get Directions Write a Review

NPPES record last updated: April 6, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elaine Moustafellos Md NPPES

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

ELAINE MOUSTAFELLOS MD (NPI 1962449207) is an individual pediatric gastroenterology provider in Hackensack, New Jersey, licensed in New Jersey (25MA07249500) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962449207
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameELAINE MOUSTAFELLOSCredential: MD
Location Address155 POLIFLY RD, SUITE 102Hackensack, NJ 07601-1758
Mailing Address155 Polifly Rd, Suite 102Hackensack, NJ 07601-1758 · (551) 996-8840 · Fax (201) 441-9949
Phone(551) 996-8840
Fax(201) 441-9949
Sole ProprietorYes
Enumeration DateJune 2, 2006
Last NPPES UpdateApril 6, 2017
✔ NPI 1962449207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in NJ · 25MA07249500
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
155 POLIFLY RD, Hackensack, NJ 07601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elaine Moustafellos Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Elaine Moustafellos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Complex Care PC
37 mi
Internal Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
NPI 1154379626 (732) 807-0800
Hackensack Meridian Health Medical Group - Specialty Care PC
37 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

MICHAEL ANTHONY WILLIAMS-HEALY APN
Nurse Practitioner (Family)
155 POLIFLY RD
HACKENSACK, NJ 07601
Bergen County (201) 343-6360
NATALIE FELIPE CPNP AC/PC
Nurse Practitioner (Pediatrics)
155 POLIFLY RD, STE 106
HACKENSACK, NJ 07601
Bergen County (201) 441-9980
MS. SHILPA SANTOSH DEWOOLKAR OTRL CHT
Occupational Therapist
155 POLIFLY RD, SUITE 104
HACKENSACK, NJ 07601
Bergen County (201) 343-3644
DR. MONICA CHUGH M.D.
Pediatrics (Pediatric Cardiology)
155 POLIFLY RD, STE 106
HACKENSACK, NJ 07601
Bergen County (201) 441-9980
DR. LAURA KATHRYN AVERY FNP-C
Nurse Practitioner (Family)
155 POLIFLY RD
HACKENSACK, NJ 07601
Bergen County (551) 996-8697
DR. CENGIZ YUCEL M.D.
Pediatrics
155 POLIFLY RD, SUITE 204
HACKENSACK, NJ 07601
Bergen County (201) 525-0214
JOSHUA DYME
Pediatrics (Pediatric Cardiology)
155 POLIFLY RD, SUITE 106
HACKENSACK, NJ 07601
Bergen County (201) 487-7617
HACKENSACK INTERNAL MEDICINE SPECIALISTS, P.A.
Internal Medicine
155 POLIFLY RD, SUITE 207
HACKENSACK, NJ 07601
Bergen County (201) 489-9119

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 Elaine Moustafellos's NPI number?

The NPI number for Elaine Moustafellos is 1962449207. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Elaine Moustafellos located?

Elaine Moustafellos practices at 155 Polifly Rd Suite 102, Hackensack, NJ 07601. The listed phone number is (551) 996-8840.

What is Elaine Moustafellos's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Elaine Moustafellos enrolled in Medicare?

Yes. Elaine Moustafellos is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elaine Moustafellos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elaine Moustafellos reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each 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 Elaine Moustafellos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elaine Moustafellos accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Elaine Moustafellos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elaine Moustafellos was last updated on April 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.