Individual provider Active NPI

Irna Mujakic

  • Physician Assistant
  • Glenmont, NY
National Provider Identifier
1124865019
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
329 Glenmont Rd
Glenmont, NY 12077-3469
Phone
(518) 264-9000
NPI assigned
Jul 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

329 Glenmont Rd
Glenmont, NY 12077-3469

Mailing address

1159 Jefferson Ave
Utica, NY 13501-3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240821000391 NY Practitioner - Physician Assistant 9739627837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

1019 New Loudon Rd
Cohoes, NY 12047-5003
Phone (518) 264-4600

115 Saratoga Rd
Suite 110
Glenville, NY 12302-4210
Phone (518) 264-2900

11835 RT
9W
West Coxsackie, NY 12192-3605
Phone (518) 264-4600

1400 Altamont Ave
Schenectady, NY 12303-2909
Phone (518) 264-4600

1769 Union St
Niskayuna, NY 12309-6311
Phone (518) 264-4733

2976 Route 9W
Saugerties, NY 12477-5234
Phone (518) 264-4600

329 Glenmont Rd
Glenmont, NY 12077-3469
Phone (518) 264-4603

5 New Karner Rd
Guilderland, NY 12084-9112
Phone (518) 264-4600

730 Hoosick Rd
Troy, NY 12180-8777
Phone (518) 264-3200

Hospital & facility affiliations

  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Aug 19, 2024 Accepting new patients
Albany Medical College CurrentSince Aug 19, 2024 Accepting new patients
Albany Medical College Physician Assistant Past Accepting new patients

Locations

98 Wolf Rd
Ste 16
Albany, NY 12205
Phone (518) 264-9500

1019 New Loudon Rd
Cohoes, NY 12047
Phone (518) 262-7500

329 Glenmont Rd
Glenmont, NY 12077
Phone (518) 264-4603

5 New Karner Rd
Guilderland, NY 12084
Phone (518) 869-8007

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

115 Saratoga Rd
Ste 110
Schenectady, NY 12302
Phone (518) 264-2900

1769 Union St
Schenectady, NY 12309
Phone (518) 264-4768

1400 Altamont Ave
Schenectady, NY 12303
Phone (518) 356-1131

730 Hoosick Rd
Troy, NY 12180
Phone (518) 264-3200

11835 Route 9W
West Coxsackie, NY 12192
Phone (518) 731-9000

Interoperability endpoints

  • Direct secure messaging: imujakic27609@albanymed.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1124865019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 JEFFERSON AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135013370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 GLENMONT RD",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120773469",
            "telephone_number": "518-264-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUJAKIC",
        "first_name": "IRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenmont, NY

Sources for this page

Verify at the official NPI Registry.