Marina Mustafina

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

3005095 Issued in NY

Practice address

405 81St St
Brooklyn, NY 11209-3904

Phone

(347) 410-1483

NPI assigned

Jan 28, 2021

Last updated

Jan 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Unique and Sunshine Inc

  • Early Intervention Provider Agency
  • Brooklyn, NY
  • NPI 1184357501
  NPD Authorized official

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1588255905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 BRIGHTWATER CT APT 3J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356609",
            "telephone_number": "347-410-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 81ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093904",
            "telephone_number": "347-410-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTAFINA",
        "first_name": "MARINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "3005095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Nicole Mustaciuolo, M.S.
• Ghassan Mustafa
• Shawkat Mustafa, M.D.
• Albina Mustafalic
• Galima Mustafina
• Fayel Mustafiz, PHD
• Mustard Seed Forensic Licensed Clinical Social Work Services P.C.
• Mustard Seed Survivor Empowerment Foundation
• Sima Muster
• Karen J Mustipher-Shepard, MSW

• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.