ISSAM MOUDED M.D.
NPI 1629092218
Specialist in Secaucus, NJ
NPI Status: Active since July 27, 2006
Contact Information
255 STATE RT 3
SUITE#105
SECAUCUS, NJ
ZIP 07094
Phone: (201) 865-1919
Fax: (201) 865-4022
- Individual
- Male
- Specialist
- PECOS Enrolled
About ISSAM MOUDED
This page provides the complete NPI Profile along with additional information for Issam Mouded, a provider established in Secaucus, New Jersey with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1629092218 assigned on July 2006. The practitioner's primary taxonomy code is 174400000X with license number MA39766 (NJ). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1629092218
- Provider Name
- ISSAM MOUDED M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 255 STATE RT 3 SUITE#105 SECAUCUS, NJ 07094
- Location Phone
- (201) 865-1919
- Location Fax
- (201) 865-4022
- Mailing Address
- 255 STATE RT 3 SUITE#105 SECAUCUS, NJ 07094
- Mailing Phone
- (201) 865-1919
- Mailing Fax
- (201) 865-4022
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-27-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- MA39766
- License State
- NJ
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| 561633 | MEDICARE ID-TYPE UNSPECIFIED (04) |
Medicare Participation & PECOS Enrollment Status
Issam Mouded is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Electronic assessment of bladder emptying
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
This service was performed 11 times for 11 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 42 times for 26 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 20 times for 18 patientsReviews for ISSAM MOUDED M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
| 1 | 6 | 2 | 9 | 0 | 9 | 2 | 2 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 4 | 9 | 0 | 9 | 4 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 4 + 9 + 0 + 9 + 4 + 2 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1629092218 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1609896406 | DR. RIAD AHMED KABAKIBI M.D. Individual | Specialist | 255 STATE RT 3 SUITE206-A SECAUCUS, NJ 07094 (201) 867-6677 |
| 1174547426 | ROBERT WAYNE BOYAJIAN M.D. Individual | Internal Medicine | 255 STATE RT 3 SUITE 203 SECAUCUS, NJ 07094 (201) 865-3100 |
| 1124190616 | GHASSAN KHANI M.D. Individual | Surgery | 255 STATE RT 3 SUITE 202 SECAUCUS, NJ 07094 (201) 866-3266 |
| 1497874358 | THE CENTER FOR GASTROENTEROLOGY AND LIVER DISORDERS LLC Organization | Internal Medicine (Gastroenterology) | 255 STATE RT 3 SUITE 210 SECAUCUS, NJ 07094 (201) 866-2400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629092218, enumerated in the NPI registry as an "individual" on July 27, 2006
The provider is located at 255 State Rt 3 Suite#105 Secaucus, Nj 07094 and the phone number is (201) 865-1919
The provider's speciality is Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Electronic assessment of bladder emptying, Established patient office or other outpatient visit, 20-29 minutes and Established patient office or other outpatient visit, 30-39 minutes.
This NPI record was last updated on July 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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