Mujtaba NP Walk in Clinic, PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MUJTABA NP WALK IN CLINIC, PC

Practice address

859 Clifton Ave Ste H
Clifton, NJ 07013-1715

Phone

(973) 200-2430

Fax

(866) 464-3951

NPI assigned

Feb 1, 2021

Last updated

Sep 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Assad Mujtaba, NPNPI 1699230359

Title

President

Phone

(973) 200-2430

Specialties & licenses 1

Addresses

Other identifiers 5

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Assad Mujtaba, DNP, NP-C

  • Family Nurse Practitioner
  • Clifton, NJ
  • NPI 1699230359
  Medicare reassignment Care Compare group NPD Authorized official
• Mehjabeen Mujtaba, NP

  • Family Nurse Practitioner
  • Paterson, NJ
  • NPI 1497432587
  Medicare reassignment Care Compare group
• Katherine R Foley, FNP

  • Family Nurse Practitioner
  • North Haledon, NJ
  • NPI 1528700572
  Medicare reassignment NPD
• Abdalla Mohamed, MD

  • Gastroenterology Physician
  • Morristown, NJ
  • NPI 1174079990
  NPD (past)

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1629669775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 CLIFTON AVE STE H",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131715",
            "telephone_number": "973-200-2430",
            "fax_number": "866-464-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 CLIFTON AVE STE H",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131715",
            "telephone_number": "973-200-2430",
            "fax_number": "866-464-3951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624-628 Main Street",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "07503",
            "country_code": "US",
            "telephone_number": "973-200-2430",
            "fax_number": "866-464-3951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2123 Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "North Bergen",
            "state": "NJ",
            "postal_code": "07047",
            "country_code": "US",
            "telephone_number": "973-200-2430",
            "fax_number": "866-464-3951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MUJTABA NP WALK IN CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "MUJTABA",
        "authorized_official_first_name": "ASSAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-200-2430",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL MEDICINE, MD",
            "identifier": "1174079990",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "1699230359",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14540436",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY MEDICINE MD",
            "identifier": "1154313179",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0818569",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billingnj@mujtabanp.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "MUJTABA NP WALK IN CLINIC, PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "859 Clifton Ave Ste H",
            "city": "Clifton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070131715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Magdalene Mozia-Cobb, NURSE PRACTITIONER
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• Gary Peter Muccino, MD
• Yildiz Muedin, RN BSN
• Assad Mujtaba, DNP, NP-C
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• Michael L Mund, MD
• Rodolfo A Munera, MD
• Stephanie Munoz, MASTERS IN PSYCHOLOG

• Family Nurse Practitioner in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.