Mujtaba NP in Family Health, P.C.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MUJTABA NP IN FAMILY HEALTH, P.C.

Practice address

10426 Roosevelt Ave
Corona, NY 11368-2328

Phone

(718) 533-0991

Fax

(833) 969-0190

NPI assigned

Dec 14, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Athar Mujtaba, NPNPI 1891355400

Title

Ceo/Provider

Phone

(917) 982-5007

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Athar Mujtaba, NP

  • Family Nurse Practitioner
  • Corona, NY
  • NPI 1891355400

  Single Specialty

  Medicare reassignment NPD Authorized official
• Assad Mujtaba, DNP, NP-C

  • Family Nurse Practitioner
  • Clifton, NJ
  • NPI 1699230359

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1639765704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10426 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682328",
            "telephone_number": "917-982-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10426 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682328",
            "telephone_number": "718-533-0991",
            "fax_number": "833-969-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUJTABA NP IN FAMILY HEALTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "MUJTABA",
        "authorized_official_first_name": "ATHAR",
        "authorized_official_title_or_position": "CEO/PROVIDER",
        "authorized_official_telephone_number": "917-982-5007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Igor Mosheyev
• Henry Moskowitz, MD
• Mercedes Mota-Martinez, DDS
• Motion Forward Physical Therapy PC
• Stacy Moyston
• Mujtaba Women'S Health Midwifery PC
• Athar Mujtaba, NP
• Ayesha Mujtaba, ARNP, CNM
• Larisa Mullodzhanova, M.S., OTR/L
• Mazal Mullodzhanova

• Family Nurse Practitioner in Corona, NY
• Providers in Corona, 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 Dec 22, 2020; 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.