Mustapha Bourara, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

234094 Issued in NY

Practice address

3047 38TH St
Astoria, NY 11103-3803

Phone

(718) 777-7577

Fax

(718) 777-7055

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: mub2003@direct.nyp.org

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.

• Mustapha Bourara MD PC

  • Clinic/Center
  • Astoria, NY
  • NPI 1114161932
  Medicare reassignment NPD Authorized official
• Flushing Hospital & Medical Center

  • General Acute Care Hospital
  • Flushing, NY
  • NPI 1154461622
  NPD (past)
• Flushing Hospital & Medical Center

  • General Acute Care Hospital
  • Flushing, NY
  • NPI 1548217763
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1437112083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3047 38TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033831",
            "telephone_number": "718-777-7577",
            "fax_number": "718-777-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3047 38TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033803",
            "telephone_number": "718-777-7577",
            "fax_number": "718-777-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURARA",
        "first_name": "MUSTAPHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "234094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02639081",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Bosk, LCSW
• John Bosworth, RPA
• Andjelko Bota, LCSW
• Elisha Boukas
• Dimitrios Boules, LACU, LMT
• William S Bouziotis, DDS
• Daphne Boyd, MSW
• Sabrina Bozzo, PTA
• Bracetown Orthodontics, LLP
• Bracetown Orthodontics,LLP

• Obstetrics & Gynecology Physician in Astoria, NY
• Providers in Astoria, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.