Masimba L Mutema, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ01125400 Issued in NJ

Practice address

605 Wharton Rd
Mount Laurel, NJ 08054-5265

Phone

(609) 531-1937

NPI assigned

May 18, 2021

Last updated

May 18, 2021By the provider in NPPES

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: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

95.33 of 100Reported as group

Quality

96.63

Promoting interoperability

99

Improvement activities

40

Cost

81.81

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

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  Medicare reassignment NPD
• Professional Service Fund of Deborah- Anesthesia

  • Specialist
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  • NPI 1902852015
  NPD

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1447824925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 WHARTON RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080545265",
            "telephone_number": "609-531-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 WHARTON RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080545265",
            "telephone_number": "609-531-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTEMA",
        "first_name": "MASIMBA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01125400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mt Laurel Endoscopy Center L P (Mount Laurel Surgery Center)
• Mt. Laurel Counseling Associates
• Levi Mulladzhanov, MD
• Kathryn Joan Murray, PSY.D.
• Lisa Murray
• Jane Wambui Mwangi
• My Smile But Better (Amazing Brace Orthodontics)
• Anan Myers
• Lynda Nanni, M.S., SLP
• Jaimie Napoleon

• Gerontology Nurse Practitioner in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.

Verify at the official NPI Registry.