Assad Mujtaba, DNP, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01103900 Issued in NJ

Practice address

859 Clifton Ave Ste H
Clifton, NJ 07013-1715

Phone

(973) 200-2430

Fax

(866) 464-3951

NPI assigned

Feb 7, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mujtaba NP Walk in Clinic, PCGroup PAC ID 9436566510, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

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.

• Mujtaba NP Walk in Clinic, PC

  • Family Nurse Practitioner
  • Clifton, NJ
  • NPI 1629669775
  Medicare reassignment Care Compare group NPD Authorized official
• Jersey Irish Medical

  • Urgent Care Clinic/Center
  • Bound Brook, NJ
  • NPI 1144575739
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of New York, PLLC

  • Emergency Medicine Physician
  • Bronx, NY
  • NPI 1205944329
  Medicare reassignment NPD
• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  Medicare reassignment NPD
• Mujtaba NP in Family Health, P.C.

  • Family Nurse Practitioner
  • Corona, NY
  • NPI 1639765704
  Medicare reassignment NPD
• Mujtaba NP Walk in Clinic, PC

  • Family Nurse Practitioner
  • North Bergen, NJ
  • NPI 1629757323
  NPD Authorized official
• Montefiore Medical Center

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1699230359",
    "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": "2475 Saint Raymonds Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104613124",
            "country_code": "US",
            "telephone_number": "973-310-9066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2475 Saint Raymonds Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104613124",
            "country_code": "US",
            "telephone_number": "973-310-9066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10426 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "NY",
            "postal_code": "113682328",
            "country_code": "US",
            "telephone_number": "973-310-9066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUJTABA",
        "first_name": "ASSAD",
        "credential": "DNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-07",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344045",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01103900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05509522",
            "state": "NY"
        },
        {
            "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",
            "city": "Clifton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070131715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• MPV New Jersey MD Services PC
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• Gary Peter Muccino, MD
• Yildiz Muedin, RN BSN
• Mujtaba NP Walk in Clinic, PC
• Multicultural Medical Office LLC
• Michael L Mund, MD
• Rodolfo A Munera, MD
• Stephanie Munoz, MASTERS IN PSYCHOLOG
• Cristian Murar, LAC

• 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 Jan 21, 2025; 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.