Nicole Elizabeth Mustafa

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

450 Hamburg Tpke
Wayne, NJ 07470-8480

Phone

(973) 706-7620

NPI assigned

Aug 9, 2021

Reactivated

Sep 9, 2021

Last updated

Sep 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Ivyrehab Network Inc.

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1174577274
  Medicare reassignment Care Compare group NPD
• Family Care Physical Therapy LLC

  • Physical Medicine & Rehabilitation Physician
  • West Milford, NJ
  • NPI 1851173967
  Medicare reassignment Authorized official
• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  NJ

  Medicare reassignment NPD
• Ivyrehab Network, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Cranford, NJ
  • NPI 1699590265

  Physical Therapist

  NPD
• Paramus Orthopedic Physical Therapy

  • Preferred Provider Organization
  • Paramus, NJ
  • NPI 1588114680
  NPD (past)
• Wayne Foot and Ankle Center,PA

  • Foot & Ankle Surgery Podiatrist
  • Wayne, NJ
  • NPI 1669519047
  NPD (past)

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1588339931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 TREETOP CT",
            "city": "BLOOMINGDALE",
            "state": "NJ",
            "postal_code": "074031007",
            "telephone_number": "973-908-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708480",
            "telephone_number": "973-706-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTAFA",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "deactivation_date": "2021-08-30",
        "reactivation_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Wayneorthopt.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "450 Hamburg Tpke",
            "city": "Wayne",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074708480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Ann Murphy, M.S.W., L.S.W.
• Brittany Murray, LSW
• Charissa Murray, C.H.C.
• Theresa M Murray, LCSW
• Jenna Musial, OTR
• Lina Muthoni, PMHNP-BC
• Eshban Muthuka, APN
• Sarah N Myers, STUDENR
• Nabil El Rafei MD PA
• Nabil M Yazgi, M.D. P.a.

• Physical Therapist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.