Active NPI
David Martin Musselman, M.D.
- General Practice Physician
- Nutley, NJ
National Provider Identifier
1205087434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 25MA07149400
- Practice address
- 340 Kingsland St
Nutley, NJ 07110-1150 - Phone
- (973) 235-3163
- NPI assigned
- Oct 7, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 25MA07149400 | NJ | Primary |
Addresses
Primary practice location
340 Kingsland St
Nutley, NJ 07110-1150
Mailing address
75 Summit Dr
Basking Ridge, NJ 07920-1960
Phone (908) 542-0260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07149400 | NJ | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223337600000",
"number": "1205087434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 SUMMIT DR",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079201960",
"telephone_number": "908-542-0260",
"fax_number": "908-647-5690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 KINGSLAND ST",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071101150",
"telephone_number": "973-235-3163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSSELMAN",
"first_name": "DAVID",
"middle_name": "MARTIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-07",
"last_updated": "2008-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NJ",
"license": "25MA07149400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nutley, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.