Gary Peter Muccino, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MAO3527700 Issued in NJ

Practice address

300 Parker Ave
Clifton, NJ 07011-1456

Phone

(973) 546-6844

Fax

(973) 546-7707

NPI assigned

Oct 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• BHMG - United Medical

  • Internal Medicine Physician
  • Lyndhurst, NJ
  • NPI 1639594377

  Family Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1285727529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PARKER AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111456",
            "telephone_number": "973-546-6844",
            "fax_number": "973-546-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PARKER AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111456",
            "telephone_number": "973-546-6844",
            "fax_number": "973-546-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCCINO",
        "first_name": "GARY",
        "middle_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MAO3527700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountainside Pediactrics LLC
• Mariem Mousa
• Mary Magdalene Mozia-Cobb, NURSE PRACTITIONER
• MPV New Jersey MD Services PC
• Ms Integrated Psychotherapy and Counseling LLC (M&S Psychotherapy and Counseling)
• Yildiz Muedin, RN BSN
• Mujtaba NP Walk in Clinic, PC
• Assad Mujtaba, DNP, NP-C
• Multicultural Medical Office LLC
• Michael L Mund, MD

• Family Medicine Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.

Verify at the official NPI Registry.