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

Ray Moussa

Individual provider Allergy & Immunology Physician · NPI 1255956819

Ray Moussa is an Allergy/Immunology in Fair Lawn, New Jersey. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2021, 5 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
5
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
NJ
In the registry since
2020

Practice location Address checks out

17-17 Route 208 Fl 3
Fair Lawn, NJ 07410-2820
Phone: (201) 414-5095
Show map & directions

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

Additional practice locations (1)

  • 1 Seymour St Ste 7, Montclair, NJ 07042-3772 — (973) 235-0090

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 25MB12808200 (NJ)

Record details

NPI number1255956819
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 10, 2020
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025
Mailing address1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104

Medicare enrollment

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

Medicare specialtyALLERGY/IMMUNOLOGY
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2021 (5 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fair Lawn