Anwar Mghari, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

351610 Issued in NY

Practice address

106 Davis Dr
River Edge, NJ 07661-1702

Phone

(201) 655-9297

NPI assigned

Apr 4, 2013

Last updated

Mar 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1033452487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 DAVIS DR",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611702",
            "telephone_number": "201-655-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 DAVIS DR",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611702",
            "telephone_number": "201-655-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MGHARI",
        "first_name": "ANWAR",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "725688",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "1033452487",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER",
            "identifier": "363LF0000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Kristine Mattera, PA-C
• William Frederick Maurice, LPC, LCADC
• Jodi A McLean, MSOTR/L
• Medicalsupplycompany
• Delfin Mendoza
• Deirdre A Montez, CADC
• Julia Montoto-Eguino, LCSW
• Atekeh Naraghi
• New Concepts for Living
• New Jersey CVS Pharmacy LLC (CVS Pharmacy 01272)

• Family Nurse Practitioner in River Edge, NJ
• Providers in River Edge, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.