Marium Mujahid

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS020239 Issued in PA

Practice address

4401 Iroquois Ave
Erie, PA 16511-2219

Phone

(814) 464-0509

NPI assigned

Jun 16, 2014

Last updated

Sep 24, 2019By the provider in NPPES

Sex

Female

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 VA, PA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Health Net

  • Federally Qualified Health Center (FQHC)
  • Erie, PA
  • NPI 1245209170
  Medicare reassignment NPD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  dba Kaiser Permanente Loudoun Medical Center

  • Health Maintenance Organization
  • Lansdowne, VA
  • NPI 1861552721

  Family Medicine

  Medicare reassignment NPD
• Community Health Net

  • Federally Qualified Health Center (FQHC)
  • Harborcreek, PA
  • NPI 1336301092
  NPD
• Community Health Net

  • Federally Qualified Health Center (FQHC)
  • Erie, PA
  • NPI 1447574785
  NPD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  dba Ashburn Medical Center

  • Health Maintenance Organization
  • Ashburn, VA
  • NPI 1699893537
  NPD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  dba Kaiser Permanente Shady Grove Peritoneal Dialysis Facility

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rockville, MD
  • NPI 1962108753
  NPD

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1336553528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 IROQUOIS AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165112219",
            "telephone_number": "814-464-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 IROQUOIS AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165112219",
            "telephone_number": "814-464-0509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10510 Jefferson Ave",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236013102",
            "country_code": "US",
            "telephone_number": "757-594-3800",
            "fax_number": "757-594-3818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUJAHID",
        "first_name": "MARIUM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS020239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John P Mraz, M.D.
• Mrs Physical Therapy
• Daniel J Muccio, MD
• Ann Muczynski
• Erika Muhammad, AAB, BA, MA CPD, CLC
• Bridget A Muldowney, SL
• Kenneth Mulford
• Multi-Cultural Health Evaluation Delivery Systems Inc (Mheds)
• Karlee Murawski
• Claudiu Muresan

• Family Medicine Physician in Erie, PA
• Providers in Erie, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.