Individual provider Active NPI

Rose Mustafa, M.D

  • Surgery Physician
  • Pennington, NJ
National Provider Identifier
1932333101
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA10126400 Issued in NJ
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

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171018000229 NJ Practitioner - General Surgery 4688940729 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Peter'S University Hospital Current Accepting new patients
Saint Peter'S Healthcare System Physician Associates CurrentSince Sep 10, 2017 Accepting new patients
Saint Peter'S University Hospital CurrentSince Sep 10, 2017 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

  • Direct secure messaging: rose.mustafa.1@12833.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.