Station Care NP in Adult Health PC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

STATION CARE NP IN ADULT HEALTH PC

Practice address

55 2ND Ave Unit 2
Brentwood, NY 11717-4665

Phone

(631) 983-3237

Fax

(631) 961-8775

NPI assigned

Jan 6, 2025

Last updated

Jun 29, 2026By 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

Mubushar Ikram Raza, AGNPNPI 1588017164

Title

Owner/ Agnp

Phone

(631) 961-8775

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 3

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.

• Mubushar Ikram Raza

  • Adult Health Nurse Practitioner
  • Brentwood, NY
  • NPI 1588017164
  Medicare reassignment NPD Authorized official
• Anisha Sara Chacko, NP

  • Family Nurse Practitioner
  • Brentwood, NY
  • NPI 1891452959
  NPD
• Aqsa Chaudhri, NP

  • Adult Health Nurse Practitioner
  • Brentwood, NY
  • NPI 1427967348
  NPD (past)

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1801605761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 2ND AVE UNIT 2",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174665",
            "telephone_number": "631-983-3237",
            "fax_number": "631-961-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 2ND AVE UNIT 2",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174665",
            "telephone_number": "631-983-3237",
            "fax_number": "631-961-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATION CARE NP IN ADULT HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "MUBUSHAR",
        "authorized_official_middle_name": "IKRAM",
        "authorized_official_title_or_position": "OWNER/ AGNP",
        "authorized_official_telephone_number": "631-961-8775",
        "authorized_official_credential": "AGNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Joseph Spano, D.C.
• Catherine Valle Sparks, RN
• Barry Richard Stabiner
• Gina Stafford, LMFT
• Dennis J Stallone, PHARMACIST
• Marjorie Elaine Stephens-Ashton, MD
• Joshua R Stockhausen, PA-C
• Strong Island Acupuncture and Chiropractic Associates PLLC
• Fatima Suarez, RN
• Shannyn Tierra Suarez, R.N.

• Adult Health Nurse Practitioner in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.