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MUSTAPHA BOURARA MD PC
NPI 1114161932
Clinic/Center in Astoria, NY

Active since April 23, 2009CLIA 33D2318561 · Waiver
3047 38TH ST, ASTORIA, NY 11103(718) 777-7577(718) 777-7055 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mustapha Bourara Md Pc NPPES

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

MUSTAPHA BOURARA MD PC (NPI 1114161932) is a healthcare organization registered as a clinic/center in Astoria, New York and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through February 12, 2027 and lists Mustapha Bourara, Physician, as its authorized official.

NPPES Registry Identity

NPI1114161932
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMUSTAPHA BOURARA MD PC
Location Address3047 38TH STAstoria, NY 11103-3831
Mailing Address3047 38th StAstoria, NY 11103-3831 · (718) 777-7577 · Fax (718) 777-7055
Phone(718) 777-7577
Fax(718) 777-7055
Organization SubpartNo
Authorized OfficialMustapha BouraraPhysician · (718) 777-7577
Enumeration DateApril 23, 2009
Last NPPES UpdateFebruary 7, 2025
NPPES CertifiedFebruary 7, 2025
✔ NPI 1114161932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3047 38TH ST, Astoria, NY 11103
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2318561

Mustapha Bourara MD PC · Astoria, NY
Active · expires Feb 12, 2027
CLIA Number33D2318561
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2025
Certificate Expiration DateFebruary 12, 2027
Laboratory DirectorDr. Mustapha Bourara
Laboratory Phone(718) 777-7577
Laboratory LocationMustapha Bourara MD PC3047 38th Street, Astoria, NY 11103
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MUSTAPHA BOURARA MD
Obstetrics & Gynecology
3047 38TH ST
ASTORIA, NY 11103
Queens County (718) 777-7577

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 Mustapha Bourara MD PC's NPI number?

The NPI number for Mustapha Bourara MD PC is 1114161932. It was assigned to this organization in the NPPES registry on April 23, 2009.

Where is Mustapha Bourara MD PC located?

Mustapha Bourara MD PC is located at 3047 38th St, Astoria, NY 11103. The listed phone number is (718) 777-7577.

What is Mustapha Bourara MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Mustapha Bourara MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2318561) is associated with this NPI, valid through February 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mustapha Bourara MD PC was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.