Active NPI
Alexter Mutia, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Boonton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ00384800
- Practice address
- 130 Powerville Rd
Boonton, NJ 07005-8705 - Phone
- (201) 371-3076
- NPI assigned
- Oct 12, 2012
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ00384800 | NJ | Primary |
Addresses
Primary practice location
130 Powerville Rd
Boonton, NJ 07005-8705
Mailing address
130 Powerville Rd
Boonton, NJ 07005-8705
Phone (201) 371-3076
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 366-6060
765 Route 70 E
BLDG a
Marlton, NJ 08053-2341
Phone (856) 983-3900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00384800 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Family Guidance, PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Acenda, Inc. | Current | Accepting new patients |
Locations
130 Powerville Rd
Boonton Twp, NJ 07005
Phone (973) 316-1800
333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500
25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000
42 Delsea Dr S
Glassboro, NJ 08028
Phone (856) 863-0006
765 Route 70 E
Bldg A
Marlton, NJ 08053
Phone (856) 797-4721
254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453
350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- alexter.mutia.p1@direct.cfg.nextgenshare.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.
-
- Geriatric Psychiatry Physician
- Marlton, NJ
- NPI 1508803388
Psychiatric/Mental Health
-
- Internal Medicine Physician
- Mine Hill, NJ
- NPI 1568570489
-
- Mental Health Counselor
- Glassboro, NJ
- NPI 1982752333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1407108582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 POWERVILLE RD",
"city": "BOONTON",
"state": "NJ",
"postal_code": "070058705",
"telephone_number": "201-371-3076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 POWERVILLE RD",
"city": "BOONTON",
"state": "NJ",
"postal_code": "070058705",
"telephone_number": "201-371-3076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTIA",
"first_name": "ALEXTER",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-12",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ00384800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boonton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.