Active NPI
Munira Yusuf
- Dentist
- Mattapan, MA
National Provider Identifier
1033947064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN10001218
- Practice address
- 90 River St
Mattapan, MA 02126-2975 - Phone
- (617) 698-5437
- NPI assigned
- Jul 22, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN10001218 | MA | Primary |
Addresses
Primary practice location
90 River St
Mattapan, MA 02126-2975
Mailing address
130 Whitwell St Apt A410
Quincy, MA 02169-1895
Phone (571) 606-6058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240828002001 | MN | Order and Referring Only - Dentist | 1557800026 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401419507 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783036800000",
"number": "1033947064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 WHITWELL ST APT A410",
"city": "QUINCY",
"state": "MA",
"postal_code": "021691895",
"telephone_number": "571-606-6058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 RIVER ST",
"city": "MATTAPAN",
"state": "MA",
"postal_code": "021262975",
"telephone_number": "617-698-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUSUF",
"first_name": "MUNIRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-22",
"last_updated": "2026-07-03",
"certification_date": "2026-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN10001218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mattapan, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.