Healthcare Provider Details

I. General information

NPI: 1821504424
Provider Name (Legal Business Name): JOSEPH MOUSSA DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2017
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 FOREST AVE STE 210
PARAMUS NJ
07652-5245
US

IV. Provider business mailing address

6 FOREST AVE STE 210
PARAMUS NJ
07652-5245
US

V. Phone/Fax

Practice location:
  • Phone: 201-810-1010
  • Fax: 973-330-8847
Mailing address:
  • Phone: 201-810-1010
  • Fax: 973-330-8847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: