Individual provider Active NPI

Dzejlana Mustedanagic, FNP-C

  • Family Nurse Practitioner
  • Lackawanna, NY
National Provider Identifier
1952293391
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
357352 Issued in NY
Practice address
98 Magnolia St
Lackawanna, NY 14218-2025
Phone
(716) 475-4225
NPI assigned
Jul 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 357352 NY Primary

Addresses

Primary practice location

98 Magnolia St
Lackawanna, NY 14218-2025

Mailing address

98 Magnolia St
Lackawanna, NY 14218-2025
Phone (716) 475-4225

Other names 1

  • Dzejlana Kadi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260320002438 NY Practitioner - Nurse Practitioner 7810471455 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ub Family Medicine IncGroup PAC ID 1658361381, 37 clinicians

Practice addresses (Care Compare)

850 Hopkins Rd
Williamsville, NY 14221-1729
Phone (716) 688-9641

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
357352NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia J. Danaher, MD, P.C. PastSince Jan 4, 2010 Accepting new patients
Ub Family Medicine, Inc PastSince Mar 1, 2026 Accepting new patients

Organizations & group practices 3

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": "1752796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1952293391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 MAGNOLIA ST",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142182025",
            "telephone_number": "716-475-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 MAGNOLIA ST",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142182025",
            "telephone_number": "716-475-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTEDANAGIC",
        "first_name": "DZEJLANA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "357352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DZEJLANA",
            "last_name": "KADI",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lackawanna, NY

Sources for this page

Verify at the official NPI Registry.