Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MESUM MOOSAVI, MD
Deactivated Sole ProprietorDR. MESUM MOOSAVI, MD is a General Practice healthcare provider located in HAWTHORNE, New Jersey. NPI 1841630191 is deactivated in the NPPES registry. Verify at CMS.
General Practice · HAWTHORNE, NJ
This NPI has been deactivated.
The record was deactivated on October 18, 2017.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1841630191
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 1, 2013 (4.2986301369863 yrs)
- Last Updated
- Aug 23, 2023
- Deactivated
- Oct 18, 2017
- Licenses
-
R73958 (AZ)25MA10937100 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
290 LAFAYETTE AVEHAWTHORNE, NJ, 075061961Browse NJ providers · Browse ZIP 07506
- Phone
- 8562660445
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.