Active NPI
Ammar Mustafa
- Physical Therapist
- Ridgewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01943100
- Practice address
- 85 S Maple Ave
Ridgewood, NJ 07450-4561 - Phone
- (551) 857-5396
- NPI assigned
- Aug 14, 2020
- Last updated
- Aug 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01943100 | NJ | Primary |
Addresses
Primary practice location
85 S Maple Ave
Ridgewood, NJ 07450-4561
Mailing address
576 Broadhollow Rd
Melville, NY 11747-5002
Phone (631) 359-5859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
385 Lakeview Ave
Clifton, NJ 07011-4074
Phone (862) 668-3629
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01943100 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| At Home by Enhance Therapies LLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Rothman Orthopaedics of New Jersey, LLC | Current | Accepting new patients | |
| Fox Rehabilitation Services Inc | Physical Therapist | Current | Accepting new patients |
| Bounce Back Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Rothman Institute of New Jersey, P.a. | Current | Accepting new patients |
Locations
872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995
385 Lakeview Ave
Clifton, NJ 07011
Phone (973) 772-1004
411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833
400 Route 70
Lakewood, NJ 08701
Phone (440) 263-9228
999 Route 73 N
Ste 401
Marlton, NJ 08053
1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424
407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331
85 S Maple Ave
Ridgewood, NJ 07450
Phone (201) 445-2830
85 S Maple Ave
Ste 1
Ridgewood, NJ 07450
Phone (201) 857-5396
524 Williamstown Rd
Sicklerville, NJ 08081
Phone (856) 262-9564
524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591
576 Broadhollow Rd
Melville, NY 11747
Interoperability endpoints
- ammar.mustafa.1@27245.direct.athenahealth.com
- https://api.platform.athenahealth.com/27245/brand/1/csg/1/fhir/r4
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Clifton, NJ
- NPI 1427797620
Physical Therapist
-
- Occupational Therapist
- Sicklerville, NJ
- NPI 1215487772
Physical Therapist
-
dba Rothman Orthopaedics Institute
- Orthopaedic Surgery Physician
- Marlton, NJ
- NPI 1215978630
-
- Physical Therapist
- Lakewood, NJ
- NPI 1124603246
-
- Occupational Therapist
- Randolph, NJ
- NPI 1104376680
Physical Therapist
-
- Prosthetic/Orthotic Supplier
- Manahawkin, NJ
- NPI 1831611243
-
- Occupational Therapist
- Whitestone, NY
- NPI 1487104261
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1023629854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 BROADHOLLOW RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117475002",
"telephone_number": "631-359-5859",
"fax_number": "631-396-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 S MAPLE AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074504561",
"telephone_number": "551-857-5396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSTAFA",
"first_name": "AMMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-14",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01943100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.