Mujtaba NP in Family Health, P.C.
NPI 1639765704ActiveOrganization· Nurse Practitioner, Family· Corona, NY
Nurse Practitioner, Family in Corona, New York, registered in NPPES in December 2020. The authorized official on file is Athar Mujtaba, NP, Ceo/Provider. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639765704 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2020 |
| Last updated in NPPES | Dec 22, 2020 |
| Certified by provider | Dec 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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