Yasmeen Mukaddam

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

00779800 Issued in NJ

Practice address

100 K Johnson Blvd FL 2
Bordentown, NJ 08505-2275

Phone

(609) 528-8884

NPI assigned

Nov 13, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yasmeen.mukaddam.1@12833.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capital Health Medical Group

  • Internal Medicine Physician
  • Trenton, NJ
  • NPI 1437516887
  Medicare reassignment Care Compare group NPD
• Rekha Gohel MD LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Manalapan, NJ
  • NPI 1912352642
  Medicare reassignment NPD
• Rgohel LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Freehold, NJ
  • NPI 1902388960
  Medicare reassignment NPD
• Lifecare Physicians, P.C

  • Internal Medicine Physician
  • Hamitton, NJ
  • NPI 1144406414
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Capital Health System, Inc.

  dba Capital Health Medical Center - Hopewell

  • General Acute Care Hospital
  • Pennington, NJ
  • NPI 1073516183
  Care Compare affiliation

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1821501891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SPYGLASS CT",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201264",
            "telephone_number": "609-954-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 K JOHNSON BLVD FL 2",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052275",
            "telephone_number": "609-528-8884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Capital Way Ste 487",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342521",
            "country_code": "US",
            "telephone_number": "609-528-8884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUKADDAM",
        "first_name": "YASMEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "00779800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yasmeen.mukaddam.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 K Johnson Blvd Fl 2",
            "city": "Bordentown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085052275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yasmeen.mukaddam.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2 Capital Way Ste 487",
            "city": "Pennington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085342521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Monastery Residennce (Care Strategies)
• Joseph Martin Montalto, PHARM D.
• Rebecca Morrissey, MS,NCC,LAC
• Anthony Moses
• Anna Marie Mossoczy-Godyn, MD
• Shruti Girish Nadkarni, D.O.
• Michael Andrew Nalbone, LCSW, LCADC
• Nancy a. McNamara, D.M.D, P.C.
• Nusreen Kathrada Navarro, LSW
• Shane Neher, DPT, PT

• Nurse Practitioner in Bordentown, NJ
• Providers in Bordentown, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.