Individual provider Active NPI

Jacob Mugaya, FNP

  • Family Nurse Practitioner
  • Cazenovia, NY
National Provider Identifier
1598375396
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346174 Issued in NY
Practice address
5481 Oxbow Rd
Cazenovia, NY 13035-9549
Phone
(315) 480-3350
NPI assigned
Aug 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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 346174 NY Primary

Addresses

Primary practice location

5481 Oxbow Rd
Cazenovia, NY 13035-9549

Mailing address

5481 Oxbow Rd
Cazenovia, NY 13035-9549
Phone (315) 480-3350

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
I20201223002115 NY Practitioner - Nurse Practitioner 7113339763 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma & Allergy Associates P.C. CurrentSince Oct 19, 2020 Accepting new patients

Locations

3533 State Route 281
#B
Cortland, NY 13045
Phone (607) 753-9604

3533 West Rd
#B
Cortland, NY 13045

216 W Gray St
Elmira, NY 14901
Phone (607) 733-5086

4000 Medical Center Dr
Ste 402
Fayetteville, NY 13066
Phone (315) 663-0005

904 E Shore Dr
Ithaca, NY 14850
Phone (607) 257-6563

Interoperability endpoints

  • Direct secure messaging: jacobmugayafnp@asthmaandallergy.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1598375396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5481 OXBOW RD",
            "city": "CAZENOVIA",
            "state": "NY",
            "postal_code": "130359549",
            "telephone_number": "315-480-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5481 OXBOW RD",
            "city": "CAZENOVIA",
            "state": "NY",
            "postal_code": "130359549",
            "telephone_number": "315-480-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGAYA",
        "first_name": "JACOB",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cazenovia, NY

Sources for this page

Verify at the official NPI Registry.