Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mohammad-Ali Mousavi, DO

Individual provider Nuclear Medicine Physician · NPI 1225398761

Dr. Mohammad-Ali Mousavi, DO is an Interventional Radiology in Newark, New Jersey. Qualified in 2005, 21 years ago. Practices with Englewood Radiologic Group P A, a 132-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
21
Licensed in
NJ, NY
In the registry since
2012
Specialties on file
7
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

201 Lyons Ave
Newark, NJ 07112-2027
Phone: (973) 926-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 25MB08686700 (NJ)
Nuclear Medicine Physician Taxonomy 207U00000X · Licence 25MB08686700 (NJ)
Nuclear Medicine Physician Taxonomy 207U00000X · Licence 275699 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 25MB08686700 (NJ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 275699 (NY)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 275699 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1225398761
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 17, 2012
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024
Mailing address5 Donna Dr, Edison, NJ 08820-2117

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Englewood Radiologic Group P A — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Newark