Shadiatu O Moustapha, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

338271 Issued in NY

Practice address

2015 Grand Concourse Ste B
Bronx, NY 10453-4303

Phone

(718) 299-7295

Fax

(718) 299-6797

NPI assigned

Aug 15, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Shadiatu O Moustapha Other name

Medicare fee-for-service enrollment

Enrolled in NY, CT2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Post Acute Specialists LLCGroup PAC ID 1951676568, 180 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mozaic Senior Life Nursing home, Bridgeport, CT, CCN 075353
• St Camillus Residential Health Care Facility Nursing home, Syracuse, NY, CCN 335283
• Touchpoints at Bloomfield Nursing home, Bloomfield, CT, CCN 075264

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shadiatu.moustapha@715431557070852.direct.elationemr.com

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.

• Post Acute Specialists, LLC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1114441565

  CT, NY

  Medicare reassignment Care Compare group NPD
• WB Homecare Adullt& Family Health NP PLLC

  • Nurse Practitioner
  • Uniondale, NY
  • NPI 1073063087
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Camillus Residential Health Care Facility

  • Skilled Nursing Facility
  • Syracuse, NY
  • NPI 1659396943

  Nursing home

  Care Compare affiliation
• St. Camillus Residential Health Care Facility

  • Multi-Specialty Clinic/Center
  • Syracuse, NY
  • NPI 1942341532

  Nursing home

  Care Compare affiliation
• Jewish Home for the Elderly of Fairfield County Incorporated

  • Skilled Nursing Facility
  • Bridgeport, CT
  • NPI 1083602346

  Nursing home

  Care Compare affiliation
• Wintonbury Care Center LLC

  • Skilled Nursing Facility
  • Bloomfield, CT
  • NPI 1659439057

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1629401443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3198 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581000",
            "telephone_number": "718-618-0401",
            "fax_number": "718-795-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 GRAND CONCOURSE STE B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534303",
            "telephone_number": "718-299-7295",
            "fax_number": "718-299-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSTAPHA",
        "first_name": "SHADIATU",
        "middle_name": "O",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "621087",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHADIATU",
            "last_name": "MOUSTAPHA",
            "middle_name": "O",
            "prefix": "MRS.",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rinda Mousa, MBBCH
• Arameh Mousakhanian, MD
• Elsayed Moussa
• Salma Mohamed Kamal Moustafa, MD
• Hana Keona Moustapha
• John Mouzakitis, PHARM.D.
• Bouticha Yvonne Mouzon, LPN
• Move Free Physical Therapy of New York, PLLC
• Sharon Movsas, RD CDE
• Cyrus Percy Mowdawalla, MD

• Family Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.