Active NPI
Tamton Mustapha, M.D.
- Gastroenterology Physician
- Hudson, NY
National Provider Identifier
1962404616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 109985
- Practice address
- 949 Columbia St
Hudson, NY 12534-2624 - Phone
- (518) 828-7188
- Fax
- (518) 828-5049
- NPI assigned
- Aug 12, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 109985 | NY | Primary |
Addresses
Primary practice location
949 Columbia St
Hudson, NY 12534-2624
Mailing address
949 Columbia St
Hudson, NY 12534-2624
Phone (518) 828-7188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 195813 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia County | Past | Accepting new patients | |
| Prime Columbia Greene Medical Associates, PC | Gastroenterology | Past | Accepting new patients |
| Columbia Memorial Hospital | Past | 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.
-
- Ambulance
- Hudson, NY
- NPI 1972056026
-
- Multi-Specialty Clinic/Center
- Valatie, NY
- NPI 1033465984
-
- Internal Medicine Physician
- Hudson, NY
- NPI 1093771677
Gastroenterology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193961600000",
"number": "1962404616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "949 COLUMBIA ST",
"city": "HUDSON",
"state": "NY",
"postal_code": "125342624",
"telephone_number": "518-828-7188",
"fax_number": "518-828-5049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "949 COLUMBIA ST",
"city": "HUDSON",
"state": "NY",
"postal_code": "125342624",
"telephone_number": "518-828-7188",
"fax_number": "518-828-5049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSTAPHA",
"first_name": "TAMTON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2007-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "109985",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "195813",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hudson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.