Individual provider Active NPI

Naja Renee Mouzon, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1033464813
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP032812 Issued in PA
Practice address
1080 N Delaware Ave Ste 800
Philadelphia, PA 19125-4338
Phone
(267) 463-5800
Fax
(215) 586-6038
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP032812 PA Primary
Registered Nurse 163W00000X RN618264 PA

Addresses

Primary practice location

1080 N Delaware Ave Ste 800
Philadelphia, PA 19125-4338

Mailing address

20 Whalen Ave
Sicklerville, NJ 08081-2195
Phone (267) 784-8916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251015002278 PA Practitioner - Nurse Practitioner 2668969478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2211 Congress St
Portland, ME 04102-1941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN618264PAMDRegistered Nurse
SP032812PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Philadelphia Health Action, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Greater Philadelphia Health Action Inc. Current Accepting new patients
Greater Philadelphia Health Action Inc. CurrentSince Oct 1, 2025 Accepting new patients
Greater Philadelphia Health Action Inc. Past Accepting new patients

Locations

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

1080 N Delaware Ave
Ste 800
Philadelphia, PA 19125
Phone (267) 463-5800

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

1401 S 31st St
Philadelphia, PA 19146
Phone (215) 755-7700

1080 N Delaware Ave
Philadelphia, PA 19125
Phone (215) 287-2114

Interoperability endpoints

  • Direct secure messaging: naja.mouzon.p1@direct.gpha.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1033464813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WHALEN AVE",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080812195",
            "telephone_number": "267-784-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 N DELAWARE AVE STE 800",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254338",
            "telephone_number": "267-463-5800",
            "fax_number": "215-586-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUZON",
        "first_name": "NAJA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP032812",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN618264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.