Mustafa Ansari, RN
Individual provider Active NPI Medical-Surgical Registered Nurse · Johnson City, NY
NPI 1083395644 · NPPES record last updated Jul 27, 2023
Key facts
- NPI
- 1083395644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical-Surgical Registered Nurse 163WM0705X
- License
- 752568 (NY)
- Practice address
- 1108 Anna Maria Dr
Johnson City, NY 13790-5007 - Phone
- (607) 232-0525
- NPI assigned
- Jul 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 752568 | NY | MD | Medical-Surgical Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 752568 | NY | Yes |
Addresses
Primary practice location
1108 Anna Maria Dr
Johnson City, NY 13790-5007
Mailing address
1108 Anna Maria Dr
Johnson City, NY 13790-5007
Phone (607) 232-0525
Other providers in Johnson City, NY
- Riddhi Jagdish Amin
- Leonard Anderson
- Joseph Andusko
- Roderick Ty Ang
- Uzma Anis
- Vishal Anugu
- Muhammad Sajeel Anwar
- Corina Arana
- Arlene Anatalie Arisme
- Maura T Armezzani
All providers in Johnson City, NY · Medical-Surgical Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.