MUSTAFA WASIFUDDIN MD
NPI 1073261541
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Q: What is Mustafa Wasifuddin's NPI number?

The NPI number for Mustafa Wasifuddin is 1073261541. It was assigned to this individual provider in the NPPES registry on March 14, 2022.

Q: What is Mustafa Wasifuddin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 14, 2022PECOS Enrolled

1 BROOKDALE PLZ, BROOKLYN, NY 11212(718) 240-6205 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mustafa Wasifuddin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUSTAFA WASIFUDDIN MD (NPI 1073261541) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073261541

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMUSTAFA WASIFUDDINCredential: MD

Location Address1 BROOKDALE PLZBrooklyn, NY 11212-3139

Mailing Address1 Brookdale PlzBrooklyn, NY 11212-3139

Phone(718) 240-6205

Sole ProprietorNo

Enumeration DateMarch 14, 2022

NPPES CertifiedMarch 14, 2022

✔ NPI 1073261541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 BROOKDALE PLZ, Brooklyn, NY 11212

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mustafa Wasifuddin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MADI LINDAUER MD

Emergency Medicine