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

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
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: July 19, 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 and is a graduate of State University Of New York Downstate Medical Center (1992).

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
Fax(201) 441-9949
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1992
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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elaine Moustafellos Md 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 ID8123122868
PECOS Enrollment IDI20070405000166
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.

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 17

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

Pediatrics (Pediatric Cardiology)
155 POLIFLY RD, SUITE 106
HACKENSACK, NJ 07601
Pediatrics (Pediatric Cardiology)
155 POLIFLY RD, SUITE 106
HACKENSACK, NJ 07601
Occupational Therapist
155 POLIFLY RD, SUITE 104
HACKENSACK, NJ 07601
Internal Medicine
155 POLIFLY RD, SUITE 207
HACKENSACK, NJ 07601
Family Medicine
155 POLIFLY RD, SUITE 207
HACKENSACK, NJ 07601
Pediatrics
155 POLIFLY RD, SUITE 204
HACKENSACK, NJ 07601
Specialist
155 POLIFLY RD, SUITE 204
HACKENSACK, NJ 07601
Clinic/Center (Medical Specialty)
155 POLIFLY RD
HACKENSACK, NJ 07601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962449207, enumerated as an "individual" on June 02, 2006.

The provider is located at 155 POLIFLY RD SUITE 102 HACKENSACK, NJ 07601 and the phone number is (551) 996-8840.

Pediatrics with taxonomy code 2080P0206X and a focus in Pediatric Gastroenterology.