Active NPI
Faiza Mubarak, NP
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1700656147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F352270-01
- Practice address
- 535 W 110TH St Apt 1E
New York, NY 10025-2021 - Phone
- (212) 280-4740
- NPI assigned
- Jan 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F352270-01 | NY | Primary |
Addresses
Primary practice location
535 W 110TH St Apt 1E
New York, NY 10025-2021
Mailing address
9209 Ravenscroft Rd
Clifton, NJ 07013-7617
Phone (845) 520-1947
Other practice location 1
492 6th Ave
New York, NY 10011-8404
Phone (646) 454-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
300 W 108TH St
Apt 13a
New York, NY 10025-2788
9209 Ravenscroft Rd
Clifton, NJ 07013-7617
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F352270-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manhattan Medical Arts, PLLC | Current | Accepting new patients | |
| Practice Associates Medical Group | Past | Accepting new patients | |
| American Chiropractic Enterprise PLLC | Past | Accepting new patients | |
| Montefiore New Rochelle Hospital | Past | Accepting new patients |
Locations
492 6th Ave
New York, NY 10011
Phone (646) 454-9000
Organizations & group practices 5
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.
-
- Adolescent Medicine (Family Medicine) Physician
- New York, NY
- NPI 1396211918
-
- Chiropractor
- Hudson, NY
- NPI 1942495486
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1295163244
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1700656147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9209 RAVENSCROFT RD",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070137617",
"telephone_number": "845-520-1947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 W 110TH ST APT 1E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100252021",
"telephone_number": "212-280-4740"
}
],
"practiceLocations": [
{
"address_1": "492 6th Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100118404",
"country_code": "US",
"telephone_number": "646-454-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUBARAK",
"first_name": "FAIZA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-08",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F352270-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.