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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MUSTAFA KHASAWNEH
NPI 1104748268
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since July 29, 2026
1555 LONG POND RD, ROCHESTER, NY 14626(585) 723-7000 Get Directions Write a Review

NPPES record added: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mustafa Khasawneh NPPES

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

MUSTAFA KHASAWNEH (NPI 1104748268) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since July 2026. He maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1104748268
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMUSTAFA KHASAWNEH
Location Address1555 LONG POND RDRochester, NY 14626-4164
Mailing Address1555 Long Pond RdRochester, NY 14626-4164 · (585) 723-7000
Phone(585) 723-7000
Sole ProprietorNo
Enumeration DateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1104748268 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.
1555 LONG POND RD, Rochester, NY 14626
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Secondary Practice Location 1

Location 11561 Long Pond RdRochester, NY 14626-4117 · Phone (585) 368-4000

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.

MACKENZIE R. PETTINELLA PA
Physician Assistant (Medical)
1555 LONG POND RD, DEPT. OF MEDICINE
ROCHESTER, NY 14626
Monroe County (585) 723-7870
FAROOQ CHAUDHARY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7746
FATHI ABOKALAWA MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7746
ELIZABETH GRACE WYGONIK PA-C
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
YOUSEF WALY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
MARINA TAKAWY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
KELCY WILDT PA
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
JEFF YANG MD
Emergency Medicine
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7070

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 Mustafa Khasawneh's NPI number?

The NPI number for Mustafa Khasawneh is 1104748268. It was assigned to this individual provider in the NPPES registry on July 29, 2026.

Where is Mustafa Khasawneh located?

Mustafa Khasawneh practices at 1555 Long Pond Rd, Rochester, NY 14626. The listed phone number is (585) 723-7000.

What is Mustafa Khasawneh's specialty?

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

When was this NPI record last updated?

The NPPES record for Mustafa Khasawneh was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.