SUSAN MUGALU ANP
NPI 1003597857
Nurse Practitioner - Family in Paterson, NJ
About Susan Mugalu Anp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN MUGALU ANP (NPI 1003597857) is an individual family provider in Paterson, New Jersey, licensed in New Jersey (26NJ14847600) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Susan Mugalu Anp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Susan Mugalu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Paterson, NJ 07503
- Reassigned Medicare billing, New Jersey enrollment
- 317 clinicians in this Medicare group
Fair Lawn, NJ 07410
- Reassigned Medicare billing, New Jersey enrollment
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph's University Medical Center Inc
Acute Care Hospitals · Paterson, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PATERSON, NJ 07503
PATERSON, NJ 07503
PATERSON, NJ 07503
PATERSON, NJ 07503
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Susan Mugalu's NPI number?
The NPI number for Susan Mugalu is 1003597857. It was assigned to this individual provider in the NPPES registry on July 25, 2023.
Where is Susan Mugalu located?
Susan Mugalu practices at 703 Main St, Paterson, NJ 07503. The listed phone number is (973) 754-0000.
What is Susan Mugalu's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Susan Mugalu enrolled in Medicare?
Yes. Susan Mugalu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Susan Mugalu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Mugalu reassigns Medicare benefits to 2 organizations: St Josephs Medical Group PC (Paterson, NJ) and Counseling Center At Fair Lawn, LLC (Fair Lawn, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Mugalu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susan Mugalu accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Susan Mugalu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Susan Mugalu affiliated with any hospitals?
According to CMS data, Susan Mugalu is affiliated with St Joseph's University Medical Center Inc.
When was this NPI record last updated?
The NPPES record for Susan Mugalu was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Susan Mugalu, ANP · NPI 1003597857
Family physician in Paterson, New Jersey. Individual provider, active in the CMS NPPES registry since July 25, 2023.
## Identity
- **NPI:** 1003597857 (Entity type: Individual)
- **Enumerated:** July 25, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ14847600 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 703 MAIN ST, Paterson, NJ 07503-2621
- **Phone:** (973) 754-0000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St Josephs Medical Group PC (NPI 1205425519, Paterson, NJ); Counseling Center At Fair Lawn, LLC (NPI 1407276975, Fair Lawn, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 25, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1003597857) · Data from the CMS NPPES public registry.