MICHAEL M MOUSSOUTTAS MD
NPI 1912907197
Psychiatry & Neurology, Vascular Neurology in Newark,


Quality Rating: 100 out of 100 score

NPI Status: Active since July 28, 2005

Contact Information

4755 Ogletown Stanton Rd Ste 2e99
Newark,
Post Code: 19718
Phone: (856) 630-2406
Fax: -

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Michael M Moussouttas Md in Newark - Psychiatry & Neurology, Vascular Neurology

Michael M Moussouttas Md is a Psychiatry & Neurology, Vascular Neurology in Newark, . Michael M Moussouttas Md practices all healthcare services and medical treatments related to Psychiatry & Neurology, Vascular Neurology. The NPI Number for Michael M Moussouttas Md is 1912907197. The last update date is 2022-07-21.

Michael M Moussouttas Md's current location address is 4755 Ogletown Stanton Rd Ste 2e99, Newark, . You can contact this provider via phone number (856) 630-2406 and fax number -. The mailing address for Michael M Moussouttas Md is 4755 Ogletown Stanton Rd Ste 2e99, Newark, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1912907197
Provider Name
MICHAEL M MOUSSOUTTAS MD
Gender
Male
Entity Type
Individual
Location Address
4755 Ogletown Stanton Rd Ste 2e99, Newark,
Location Phone
(856) 630-2406
Location Fax
-
Mailing Address
4755 Ogletown Stanton Rd Ste 2e99, Newark, Delaware(DE)
Mailing Phone
302-733-5982
Mailing Fax
-
Enumeration Date
2005-07-28
Last Update Date
2022-07-21
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology, Neurology

Taxonomy Code
2084N0400X
Type
-
License No.
C1-0012292
License State
Delaware (DE)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 2084V0102X Vascular Neurology Physician

Psychiatry & Neurology, Vascular Neurology

MD432784 (Pennsylvania)
2 2084N0400X Neurology Physician

Psychiatry & Neurology, Neurology

201294 (New York)
3 2084N0400X Neurology Physician

Psychiatry & Neurology, Neurology

25MA07658800 (New Jersey)
4 2084A2900X Neurocritical Care Physician

Psychiatry & Neurology, Neurocritical Care

NCC00372-08 (New Jersey)
5 2084A2900X Neurocritical Care Physician

Psychiatry & Neurology, Neurocritical Care

NCC00372-08 (Pennsylvania)
6 2084V0102X Vascular Neurology Physician

Psychiatry & Neurology, Vascular Neurology

25MA07658800 (New Jersey)
7 2084N0400X Neurology Physician

Psychiatry & Neurology, Neurology

MD432784 (Pennsylvania)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0018727880005 MEDICAID (05) Pennsylvania (PA)
2095572 MEDICAID (05) New Jersey (NJ)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1912907197
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
292218014118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 292218014118
2 + 9 + 2 + 2 + 1 + 8 + 0 + 1 + 4 + 1 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7 7

The NPI number 1912907197 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205839321 BRADLEY MUDGE
Individual
Surgery 4735 OGLETOWN STANTON RD STE 3301
NEWARK, Delaware (DE)
302-623-4370
1538162219 RUTH S. MOOREVILLE
Individual
Pediatrics P.O. BOX 191
ROCKLAND, Delaware (DE)
302-651-4000
1427051226 STEVEN E TOOZE
Individual
Orthopaedic Surgery 285 BEISER BLVD STE 201
DOVER, Delaware (DE)
302-731-2888
1083617047 MARK A SORDI
Individual
Family Medicine 20251 JOHN J WILLIAMS HWY
LEWES, Delaware (DE)
302-644-6860
1205839164 MID-ATLANTIC FAMILY PRACTICE
Organization
Family Medicine 20251 JOHN J WILLIAMS HWY
LEWES, Delaware (DE)
302-644-6860