Ayesha Mujtaba, ARNP, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

F00195701 Issued in NY

Practice address

10426 Roosevelt Ave
Corona, NY 11368-2328

Phone

(718) 219-2400

NPI assigned

Sep 27, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mujtaba Women'S Health Midwifery PC

  • Advanced Practice Midwife
  • Corona, NY
  • NPI 1588239958
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1003391863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10426 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682328",
            "telephone_number": "718-219-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10426 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682328",
            "telephone_number": "718-219-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16400 NW 2nd Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331696035",
            "country_code": "US",
            "telephone_number": "718-219-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2412 Church Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11226",
            "country_code": "US",
            "telephone_number": "855-681-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUJTABA",
        "first_name": "AYESHA",
        "credential": "ARNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP9367605",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F00195701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Motion Forward Physical Therapy PC
• Stacy Moyston
• Mujtaba NP in Family Health, P.C.
• Mujtaba Women'S Health Midwifery PC
• Athar Mujtaba, NP
• Larisa Mullodzhanova, M.S., OTR/L
• Mazal Mullodzhanova
• Violetta Munarova, PHARMD
• Shikha Patel Muni, DO
• Jeysiyareth Mariana Munoz-Abarca

• Advanced Practice Midwife in Corona, NY
• Providers in Corona, NY by specialty
• Advanced Practice Midwife in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.