Active NPI
Rose Mustafa, M.D
- Surgery Physician
- Pennington, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MA10126400
- Practice address
- 2 Capital Way Ste 505
Pennington, NJ 08534 - Phone
- (609) 537-6700
- Fax
- (609) 537-6717
- NPI assigned
- May 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MA10126400 | NJ | Primary |
Addresses
Primary practice location
2 Capital Way Ste 505
Pennington, NJ 08534
Mailing address
118 Henderson Rd
Kendall Park, NJ 08824-1505
Phone (845) 598-0159
Other practice location 1
57-59 E 96th Street
Apt. 1C
New York, NY 10029
Phone (845) 357-6206
Other practice location 2
57-59 E 96th Street
Apt. 1C
New York, NY 10029
Phone (845) 357-6206
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rose.mustafa.1@12833.direct.athenahealth.com | Direct |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Peter'S University Hospital | Current | Accepting new patients | |
| Saint Peter'S Healthcare System Physician Associates | Current | Accepting new patients | |
| Saint Peter'S University Hospital | Current | Accepting new patients |
Locations
2 Research Way
Ste 307
Monroe Twp, NJ 08831
Phone (609) 409-4500
254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453
123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000
240 Easton Ave
Fl 3
New Brunswick, NJ 08901
Phone (732) 565-5453
Interoperability endpoints
- rose.mustafa.1@12833.direct.athenahealth.com
- https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
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.
-
- General Practice Physician
- New Brunswick, NJ
- NPI 1548569361
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
-
- Internal Medicine Physician
- Trenton, NJ
- NPI 1437516887
-
- General Practice Physician
- Flemington, NJ
- NPI 1306216874
-
- Clinical Psychologist
- New Brunswick, NJ
- NPI 1376079590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1932333101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 HENDERSON RD",
"city": "KENDALL PARK",
"state": "NJ",
"postal_code": "088241505",
"telephone_number": "845-598-0159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CAPITAL WAY STE 505",
"city": "PENNINGTON",
"state": "NJ",
"postal_code": "08534",
"telephone_number": "609-537-6700",
"fax_number": "609-537-6717"
}
],
"practiceLocations": [
{
"address_1": "57-59 E 96th Street",
"address_2": "Apt. 1C",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10029",
"country_code": "US",
"telephone_number": "845-357-6206",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "57-59 E 96th Street",
"address_2": "Apt. 1C",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10029",
"country_code": "US",
"telephone_number": "845-357-6206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUSTAFA",
"first_name": "ROSE",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-04",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MA10126400",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rose.mustafa.1@12833.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2 Capital Way Ste 505",
"city": "Pennington",
"state": "NJ",
"country_code": "US",
"postal_code": "08534",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pennington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.