Individual provider Active NPI

Mahuwa Mukherjee, FNP

  • Family Nurse Practitioner
  • Halfmoon, NY
National Provider Identifier
1487417440
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F353396 Issued in NY
Practice address
103 Sitterly Rd Ste 2300
Halfmoon, NY 12065-5686
Phone
(518) 579-2650
NPI assigned
Feb 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F353396 NY Primary

Addresses

Primary practice location

103 Sitterly Rd Ste 2300
Halfmoon, NY 12065-5686

Mailing address

29 Gala PL
Niskayuna, NY 12309-3153
Phone (518) 229-8057

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241107002163 NY Practitioner - Nurse Practitioner 6709310105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellis HospitalGroup PAC ID 5890607410, 250 clinicians

Practice addresses (Care Compare)

103 Sitterly Rd
Halfmoon, NY 12065-5612
Phone (518) 579-2800

1101 Nott St
Schenecctady, NY 12308-2425
Phone (518) 243-4000

Hospital & facility affiliations

  • Ellis Hospital Hospital, Schenectady, NY, CCN 330153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F353396NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis Hospital CurrentSince Aug 24, 2024 Accepting new patients

Locations

103 Sitterly Rd
Ste 2300
Halfmoon, NY 12065
Phone (518) 579-2650

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

1101 Nott St
#3754
Schenectady, NY 12308

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1487417440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 GALA PL",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123093153",
            "telephone_number": "518-229-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SITTERLY RD STE 2300",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120655686",
            "telephone_number": "518-579-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKHERJEE",
        "first_name": "MAHUWA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F353396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Halfmoon, NY

Sources for this page

Verify at the official NPI Registry.