Nelson Muthra Sr., P.A

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0044551 Issued in NY

Practice address

354 Hunter St
Ossining, NY 10562-5400

Phone

(914) 837-2558

NPI assigned

Dec 29, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Nelson Muthra Sr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Nys Doccs Sing Sing Correctional Facility

  • Prison Health Clinic/Center
  • Ossining, NY
  • NPI 1891403150
  NPD (past)

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1033574439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 JUNIPER HILL RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106072104",
            "telephone_number": "914-941-0108",
            "fax_number": "914-941-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 HUNTER ST",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105625400",
            "telephone_number": "914-837-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHRA",
        "first_name": "NELSON",
        "name_suffix": "Sr.",
        "credential": "P.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "0044551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NELSON",
            "last_name": "MUTHRA",
            "prefix": "MR.",
            "suffix": "SR.",
            "credential": "P.A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Medical Physician Assistant in Ossining, NY
• Providers in Ossining, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.