Active NPI
Ali M Mustafa
- Pulmonary Disease Physician
- Marlton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 25MA12129000
- Practice address
- Renaissance Square, 141 Route 70, Suite B
Marlton, NJ 08053 - Phone
- (856) 596-9057
- Fax
- (856) 596-0837
- NPI assigned
- Mar 24, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 305207 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pulmonary Disease Physician | 207RP1001X | 25MA12129000 | NJ | Primary |
Addresses
Primary practice location
Renaissance Square, 141 Route 70, Suite B
Marlton, NJ 08053
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 596-9057
Other practice location 1
239 Hurffville Crosskeys Rd Ste 450
Sewell, NJ 08080-4009
Phone (856) 341-8390
Other practice location 2
1113 Hospital Dr Ste 305
Willingboro, NJ 08046-1130
Phone (856) 375-1288
Other practice location 3
401 Young Ave Ste 165
Moorestown, NJ 08057-3131
Phone (856) 235-4656
Other practice location 4
6500 Kevin Johnson Blvd., Suite 100B
Bordentown, NJ 08505
Phone (609) 444-5404
Other practice location 5
107 Berlin Rd
Cherry Hill, NJ 08034-3526
Phone (856) 429-1800
Other practice location 6
750 Route 73 S Ste 401
Marlton, NJ 08053-4145
Phone (856) 375-1288
Other practice location 7
1000 Atlantic Ave Ste 205E
Camden, NJ 08104-1132
Phone (856) 596-9057
Electronic endpoints 8
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amustafa272855@directvirtua.org | ||
| Direct Messaging Address | amustafa272855@directvirtua.org | ||
| Direct Messaging Address | amustafa272855@directvirtua.org | ||
| Direct Messaging Address | amustafa272855@directvirtua.org | ||
| Direct Messaging Address | amustafa272855@directvirtua.org | ||
| Direct Messaging Address | amustafa272855@directvirtua.org | ||
| Direct Messaging Address | amustafa272855@directvirtua.org | ||
| Direct Messaging Address | amustafa272855@directvirtua.org |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260
1000 Atlantic Ave
Camden, NJ 08104-1132
141 Route 70 E
Marlton, NJ 08053-1855
1600 Haddon Ave
Camden, NJ 08103-3101
175 Madison Ave
Mount Holly, NJ 08060-2038
218 Sunset Rd
FL 5
Willingboro, NJ 08046-1110
Phone (609) 444-0359
3242 Route 206
Bordentown, NJ 08505-4517
750 Route 73 S
Suite 401
Marlton, NJ 08053-4145
Phone (856) 375-1288
90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260
Hospital & facility affiliations
- West Jersey Hospital
- Virtua Our Lady of Lourdes Hospital
- Virtua Mount Holly Hospital
- Virtua Willingboro Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305207 | NY | MD | Registered Nurse |
| 25MA12129000 | NJ | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Hospitalist | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
1000 Atlantic Ave
Ste 205E
Camden, NJ 08104
Phone (856) 596-9057
107 Berlin Rd
Cherry Hill, NJ 08034
Phone (856) 429-1800
303 Lippincott Dr
Marlton, NJ 08053
750 Route 73 S
Ste 401
Marlton, NJ 08053
Phone (856) 332-0767
141 Route 70 E
Ste B
Marlton, NJ 08053
Phone (856) 596-9057
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335
401 Young Ave
Ste 165
Moorestown, NJ 08057
Phone (856) 235-4656
239 Hurffville Crosskeys Rd
Ste 450
Sewell, NJ 08080
Phone (856) 341-8390
1113 Hospital Dr
Ste 305
Willingboro, NJ 08046
Phone (609) 835-3624
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Holly, NJ
- NPI 1134125016
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1235134024
-
- General Acute Care Hospital
- Willingboro, NJ
- NPI 1053316844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1891226486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LIPPINCOTT DR STE 410",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534197",
"telephone_number": "856-596-9057",
"fax_number": "856-596-0837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RENAISSANCE SQUARE, 141 ROUTE 70, SUITE B",
"city": "MARLTON",
"state": "NJ",
"postal_code": "08053",
"telephone_number": "856-596-9057",
"fax_number": "856-596-0837"
}
],
"practiceLocations": [
{
"address_1": "239 Hurffville Crosskeys Rd Ste 450",
"address_purpose": "LOCATION",
"city": "Sewell",
"state": "NJ",
"postal_code": "080804009",
"country_code": "US",
"telephone_number": "856-341-8390",
"fax_number": "856-341-8131",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1113 Hospital Dr Ste 305",
"address_purpose": "LOCATION",
"city": "Willingboro",
"state": "NJ",
"postal_code": "080461130",
"country_code": "US",
"telephone_number": "856-375-1288",
"fax_number": "856-375-2325",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 Young Ave Ste 165",
"address_purpose": "LOCATION",
"city": "Moorestown",
"state": "NJ",
"postal_code": "080573131",
"country_code": "US",
"telephone_number": "856-235-4656",
"fax_number": "856-235-4786",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6500 Kevin Johnson Blvd., Suite 100B",
"address_purpose": "LOCATION",
"city": "Bordentown",
"state": "NJ",
"postal_code": "08505",
"country_code": "US",
"telephone_number": "609-444-5404",
"fax_number": "609-444-5405",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "107 Berlin Rd",
"address_purpose": "LOCATION",
"city": "Cherry Hill",
"state": "NJ",
"postal_code": "080343526",
"country_code": "US",
"telephone_number": "856-429-1800",
"fax_number": "856-429-1081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "750 Route 73 S Ste 401",
"address_purpose": "LOCATION",
"city": "Marlton",
"state": "NJ",
"postal_code": "080534145",
"country_code": "US",
"telephone_number": "856-375-1288",
"fax_number": "856-375-2325",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Atlantic Ave Ste 205E",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "NJ",
"postal_code": "081041132",
"country_code": "US",
"telephone_number": "856-596-9057",
"fax_number": "856-596-0837",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUSTAFA",
"first_name": "ALI",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-24",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "305207",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "25MA12129000",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amustafa272855@directvirtua.org",
"affiliation": "N",
"address_1": "6500 Kevin Johnson Blvd., Suite 100B",
"city": "Bordentown",
"state": "NJ",
"country_code": "US",
"postal_code": "08505",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amustafa272855@directvirtua.org",
"affiliation": "N",
"address_1": "107 Berlin Rd",
"city": "Cherry Hill",
"state": "NJ",
"country_code": "US",
"postal_code": "080343526",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amustafa272855@directvirtua.org",
"affiliation": "N",
"address_1": "750 Route 73 S Ste 401",
"city": "Marlton",
"state": "NJ",
"country_code": "US",
"postal_code": "080534145",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amustafa272855@directvirtua.org",
"affiliation": "N",
"address_1": "401 Young Ave Ste 165",
"city": "Moorestown",
"state": "NJ",
"country_code": "US",
"postal_code": "080573131",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amustafa272855@directvirtua.org",
"affiliation": "N",
"address_1": "239 Hurffville Crosskeys Rd Ste 450",
"city": "Sewell",
"state": "NJ",
"country_code": "US",
"postal_code": "080804009",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amustafa272855@directvirtua.org",
"affiliation": "N",
"address_1": "1113 Hospital Dr Ste 305",
"city": "Willingboro",
"state": "NJ",
"country_code": "US",
"postal_code": "080461130",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amustafa272855@directvirtua.org",
"affiliation": "N",
"address_1": "Renaissance Square, 141 Route 70, Suite B",
"city": "Marlton",
"state": "NJ",
"country_code": "US",
"postal_code": "08053",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amustafa272855@directvirtua.org",
"affiliation": "N",
"address_1": "1000 Atlantic Ave Ste 205E",
"city": "Camden",
"state": "NJ",
"country_code": "US",
"postal_code": "081041132",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.