Individual provider Active NPI

Mustafa Ahmed Barbhuiya, PHD, NRCC-CC

  • Clinical Laboratory Director (Non-physician)
  • Springfield, MA
National Provider Identifier
1396356572
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X
License
4759 Issued in PA
Practice address
759 Chestnut St
Springfield, MA 01199-2360
Phone
(413) 794-4512
Fax
(413) 794-3195
NPI assigned
Aug 12, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Laboratory Director (Non-physician) 247ZC0005X BARBM3ENDO NY
Clinical Laboratory Director (Non-physician) 247ZC0005X BARBM3TSMQ NY
Clinical Laboratory Director (Non-physician) 247ZC0005X BARBM3VIRO NY
Clinical Laboratory Director (Non-physician) 247ZC0005X BARBM3CLTO NY
Clinical Laboratory Director (Non-physician) 247ZC0005X BARBM3BLLE NY
Clinical Laboratory Director (Non-physician) 247ZC0005X BARBM3BPAG NY
Clinical Laboratory Director (Non-physician) 247ZC0005X 4759 PA Primary

Addresses

Primary practice location

759 Chestnut St
Springfield, MA 01199-2360

Mailing address

759 Chestnut St
Springfield, MA 01199-2812
Phone (413) 794-4512

Other identifiers 10

IdentifierTypeStateIssuer
BARBM3TSMQOtherNYCLIA LAB DIRECTOR THER. SUB. MON./QUANT. TOX.
BARBM3BLLEOtherNYCLIA LAB DIRECTOR BLOOD LEAD
4759OtherNATIONAL REGISTRY OF CERTIFIED CHEMISTS
BARBM3VIROOtherNYCLIA LAB DIRECTOR VIROLOGY
266809OtherAMERICAN SOCIETY OF CLINICAL PATHOLOGY
BARBM3BPAGOtherNYCLIA LAB DIRECTOR BLOOD PH AND GASES
BARBM3CLTOOtherNYCLIA LAB DIRECTOR CLINICAL TOXICOLOGY
BARBM3ENDOOtherNYCLIA LAB DIRECTOR ENDOCRINOLOGY
267OtherAMERICAN SOCIETY OF CLINICAL PATHOLOGY
BARBM3CLINOtherNYCLIA LAB DIRECTOR CLINICAL CHEMISTRY

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 Philosophy

State licenses

LicenseStateTypeSpecialty
BARBM3BLLENYMDClinical Laboratory Director (Non-physician)
BARBM3BPAGNYMDClinical Laboratory Director (Non-physician)
BARBM3CLTONYMDClinical Laboratory Director (Non-physician)
BARBM3ENDONYMDClinical Laboratory Director (Non-physician)
BARBM3TSMQNYMDClinical Laboratory Director (Non-physician)
BARBM3VIRONYMDClinical Laboratory Director (Non-physician)
4759PAMDClinical Laboratory Director (Non-physician)

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1396356572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 CHESTNUT ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011992812",
            "telephone_number": "413-794-4512",
            "fax_number": "413-794-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 CHESTNUT ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011992360",
            "telephone_number": "413-794-4512",
            "fax_number": "413-794-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBHUIYA",
        "first_name": "MUSTAFA",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "PHD, NRCC-CC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-12",
        "last_updated": "2021-10-19",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NY",
            "license": "BARBM3ENDO",
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NY",
            "license": "BARBM3TSMQ",
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NY",
            "license": "BARBM3VIRO",
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NY",
            "license": "BARBM3CLTO",
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NY",
            "license": "BARBM3BLLE",
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NY",
            "license": "BARBM3BPAG",
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "PA",
            "license": "4759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA LAB DIRECTOR THER. SUB. MON./QUANT. TOX.",
            "identifier": "BARBM3TSMQ",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA LAB DIRECTOR BLOOD LEAD",
            "identifier": "BARBM3BLLE",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL REGISTRY OF CERTIFIED CHEMISTS",
            "identifier": "4759",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA LAB DIRECTOR VIROLOGY",
            "identifier": "BARBM3VIRO",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SOCIETY OF CLINICAL PATHOLOGY",
            "identifier": "266809",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA LAB DIRECTOR BLOOD PH AND GASES",
            "identifier": "BARBM3BPAG",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA LAB DIRECTOR CLINICAL TOXICOLOGY",
            "identifier": "BARBM3CLTO",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA LAB DIRECTOR ENDOCRINOLOGY",
            "identifier": "BARBM3ENDO",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SOCIETY OF CLINICAL PATHOLOGY",
            "identifier": "267",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA LAB DIRECTOR CLINICAL CHEMISTRY",
            "identifier": "BARBM3CLIN",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.