Individual provider Active NPI

Qudsiya Mubeen Hussain

  • Nurse Practitioner
  • Princeton Junction, NJ
National Provider Identifier
1841936887
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01302600 Issued in NJ
Practice address
1390 Old Trenton Rd
Princeton Junction, NJ 08550
Phone
(609) 903-8023
NPI assigned
May 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X 26NJ01302600 NJ Primary

Addresses

Primary practice location

1390 Old Trenton Rd
Princeton Junction, NJ 08550

Mailing address

1390 Old Trenton Rd
Princeton Junction, NJ 08550
Phone (609) 903-8023

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230328003074 NJ Practitioner - Nurse Practitioner 9335513621 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mariam Maniya Internal Medicine PC Single Specialty CurrentSince Mar 1, 2023 Accepting new patients

Locations

800 Denow Rd
Ste K
Pennington, NJ 08534
Phone (609) 474-8080

1001 Washington Blvd
Robbinsville, NJ 08691
Phone (609) 249-9001

1078 Whitehorse Ave
Trenton, NJ 08610
Phone (609) 581-1400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1841936887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 OLD TRENTON RD",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "08550",
            "telephone_number": "609-903-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 OLD TRENTON RD",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "08550",
            "telephone_number": "609-903-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "QUDSIYA",
        "middle_name": "MUBEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01302600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton Junction, NJ

Sources for this page

Verify at the official NPI Registry.