Marianne A Mustafa, M.D.
Individual provider Active NPI Geriatric Medicine (Family Medicine) Physician · Malta, NY
NPI 1497841860 · NPPES record last updated Apr 4, 2012
Key facts
- NPI
- 1497841860
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Family Medicine) Physician 207QG0300X
- License
- 226100 (NY)
- Practice address
- 100 Saratoga Village Blvd
Suite 34
Malta, NY 12020-3737 - Phone
- (518) 899-9099
- Fax
- (518) 899-9098
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 21
Hospital & facility affiliations 32
Owned or controlled facilities with NPI records 18
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Saratoga Hospital
CLR Schenectady LLC
Saratoga Family Medicine,PLLC
Practice addresses (Care Compare)
131 Lawrence St
Saratoga Springs, NY 12866-1346
Phone (518) 587-3600
526 Altamont Ave
Schenectady, NY 12303-1039
Phone (518) 346-6121
6 Medical Park Dr
Suite 208
Malta, NY 12020-5053
Phone (518) 899-9090
Hospital & facility affiliations
- Centerwell Home Health
- Eddy Visiting Nurse & Rehab Association
- Community Hospice, Inc, the
- St Peter'S Hospital
- Saratoga Hospital
- Ellis Hospital
- Albany Medical Center Hospital
- Sunnyview Hospital and Rehabilitation Center
- Daughters of Sarah Nursing Center
- Seton Health at Schuyler Ridge Residential H C
- Glendale Home-Schdy Cnty Dept Social Services
Merit-based Incentive Payment System (MIPS)
- Final score
- 68.51 of 100
- Quality
- 56.19
- Improvement activities
- 40
- Cost
- 75.36
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Saratoga Hospital |
Hospital | Corporate Officer | Jan 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111121000637 | NY | Practitioner - Family Practice | 8325097793 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226100 | NY | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saratoga Hospital | Current | Accepting new patients | |
| CLR Schenectady LLC | Current |
Accepting new patients | |
| Hospitalist Healthcare Services PLLC | Geriatric Medicine | Current |
Accepting new patients |
| Saratoga Hospital | Current |
Accepting new patients | |
| Saratoga Hospital | Current |
Accepting new patients | |
| Saratoga Hospital | Current | Accepting new patients | |
| Saratoga Hospital | Current | Accepting new patients | |
| Hospitalist Healthcare Services PLLC | Geriatric Medicine | Current | Accepting new patients |
| Saratoga Family Medicine,PLLC | Current |
Accepting new patients | |
| Eugene K. Merecki, MD PC | Current |
Accepting new patients | |
| Ihc Health Services, Inc. | Past | Accepting new patients | |
| Utah Valley Emergency Physicians Inc | Past |
Accepting new patients | |
| Seton Health at Schuyler Ridge Residential Healthcare | Past | Accepting new patients | |
| Schenectady County | Past | Accepting new patients | |
| R.G. Psychological Services, P.C. | Past | Accepting new patients | |
| Daughters of Sarah Nursing Center, Inc. | Past | Accepting new patients |
Locations
3530 Wayne Ave
Bronx, NY 10467
Phone (718) 655-1700
6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010
820 Albany Shaker Rd
Loudonville, NY 12211
Phone (518) 869-2231
6 Medical Park Dr
Ste 208
Malta, NY 12020
Phone (518) 899-2632
100 Saratoga Village Blvd
Ste 34
Malta, NY 12020
Phone (518) 899-2632
420 E 76th St
New York, NY 10021
Phone (212) 434-5300
17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300
1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699
131 Lawrence St
Saratoga Springs, NY 12866
Phone (518) 587-3600
3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800
526 Altamont Ave
Schenectady, NY 12303
Phone (518) 346-6121
2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040
100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 226100 | NY | Yes |
Addresses
Primary practice location
100 Saratoga Village Blvd
Suite 34
Malta, NY 12020-3737
Mailing address
100 Saratoga Village Blvd
Suite 34
Malta, NY 12020-3737
Phone (518) 899-9099
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002370267 | Medicaid | NY |
Other providers in Malta, NY
- Carly Catherine Moran
- Allison Morgan
- Kathleen Morgia
- Amanda Morse
- Deborah Davis Mulligan-Timer
- Myrtle Street Obstetrics and Gynecology, PC
- Candy Nalewajek
- Keir Neighmond
- Newstone Mobile Imaging LLC
- Megan Nieckarz
All providers in Malta, NY · Geriatric Medicine (Family Medicine) Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.