Individual provider Active NPI

Mehjabeen Mujtaba, NP

  • Family Nurse Practitioner
  • Paterson, NJ
National Provider Identifier
1497432587
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14868900 Issued in NJ
Practice address
628 Main St
Paterson, NJ 07503
Phone
(973) 200-2430
Fax
(866) 464-3951
NPI assigned
Jun 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 26NJ14868900 NJ Primary

Addresses

Primary practice location

628 Main St
Paterson, NJ 07503

Mailing address

859 Clifton Ave Ste H
Clifton, NJ 07013-1715
Phone (973) 200-2430

Other practice location 1

606 Broadway
Paterson, NJ 07514-1916
Phone (973) 679-0393

Other practice location 2

859 Clifton Ave Ste H
Clifton, NJ 07013-1738
Phone (973) 200-2430

Other identifiers 1

IdentifierTypeStateIssuer
26NJ14868900OtherNJAPN - FAMILY PRACTICE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address assad@mujtabanp.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230807002215 NJ Practitioner - Nurse Practitioner 0244691277 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gands Medical Associates LLCGroup PAC ID 0244404697, 17 clinicians
Mujtaba NP Walk in Clinic, PCGroup PAC ID 9436566510, 2 clinicians

Practice addresses (Care Compare)

606 Broadway
Paterson, NJ 07514-1916
Phone (908) 240-8142

624 -628 Main St
624 628
Paterson, NJ 07503-3029
Phone (973) 200-2430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ14868900NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Feb 1, 2025 Accepting new patients
G&S Medical Associates LLC Family CurrentSince Sep 1, 2023 Accepting new patients

Locations

335 Passaic St
Passaic, NJ 07055
Phone (973) 358-5500

606 Broadway
Paterson, NJ 07514
Phone (973) 278-8818

295 Broadway
Paterson, NJ 07501
Phone (201) 463-7943

91 Main St
Paterson, NJ 07505
Phone (973) 358-5500

34 Mill St
Paterson, NJ 07501
Phone (973) 341-3782

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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.

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1497432587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 CLIFTON AVE STE H",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131715",
            "telephone_number": "973-200-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07503",
            "telephone_number": "973-200-2430",
            "fax_number": "866-464-3951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 Broadway",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075141916",
            "country_code": "US",
            "telephone_number": "973-679-0393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "859 Clifton Ave Ste H",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070131738",
            "country_code": "US",
            "telephone_number": "973-200-2430",
            "fax_number": "866-464-3951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUJTABA",
        "first_name": "MEHJABEEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14868900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN - FAMILY PRACTICE",
            "identifier": "26NJ14868900",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "assad@mujtabanp.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "859 Clifton Ave Ste H",
            "city": "Clifton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070131715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.