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DR. JAMES ROBERT MUSSMAN MD
NPI 1346219615
Internal Medicine in New Rochelle, NY

Active since March 17, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 33D0711073 · Waiver
150 LOCKWOOD AVE, SUITE 32, NEW ROCHELLE, NY 10801(914) 632-1235(914) 632-2553 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Robert Mussman Md NPPES

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

DR. JAMES ROBERT MUSSMAN MD (NPI 1346219615) is an individual internal medicine provider in New Rochelle, New York, licensed in New York (228971) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2026, and is affiliated with Montefiore New Rochelle Hospital.

NPPES Registry Identity

NPI1346219615
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES ROBERT MUSSMANCredential: MD
Location Address150 LOCKWOOD AVE, SUITE 32New Rochelle, NY 10801-4912
Mailing Address150 Lockwood Ave, Suite 32New Rochelle, NY 10801-4912 · (914) 632-1235 · Fax (914) 632-2553
Phone(914) 632-1235
Fax(914) 632-2553
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1997
Enumeration DateMarch 17, 2006
Last NPPES UpdateFebruary 16, 2024
✔ NPI 1346219615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 228971
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
150 LOCKWOOD AVE, New Rochelle, NY 10801
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Other Identifiers 1

Medicaid02419107NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Robert Mussman Md 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.

PECOS PAC ID1850282856
PECOS Enrollment IDI20040322000062
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.

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 33D0711073

James Mussman MD · New Rochelle, NY
Active · expires Aug 31, 2026
CLIA Number33D0711073
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. James R. Mussman
Laboratory Phone(914) 632-1235
Laboratory LocationJames Mussman MD150 Lockwood Avenue, Suite 18, New Rochelle, NY 10801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
417 services76 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
110 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
100 services44 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
78 services53 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
54 services39 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
38 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore New Rochelle Hospital

Acute Care Hospitals · New Rochelle, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330184
Location16 Guion PlaceNew Rochelle, NY 10802 · Westchester County
Emergency services Birthing friendly

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330304
Location41 East Post R0adWhite Plains, NY 10601 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers27 claims36 services$4.05 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$43.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

NEW ROCHELLE RADIOLOGY ASSOCIATES, P.C.
Radiology (Radiation Oncology)
150 LOCKWOOD AVE
NEW ROCHELLE, NY 10801
Westchester County (914) 576-1620
DAHLIA PLUMMER MD PC
Surgery (Vascular Surgery)
150 LOCKWOOD AVE, SUITE 14
NEW ROCHELLE, NY 10801
Westchester County (914) 636-1700
PHYLLIS MANDEL MD PLLC
Internal Medicine
150 LOCKWOOD AVE, SUITE 16
NEW ROCHELLE, NY 10801
Westchester County (914) 235-2352
MONTEFIORE MEDICAL CENTER
General Practice
150 LOCKWOOD AVE
NEW ROCHELLE, NY 10801
Westchester County (914) 633-7870
DR. BERNARD GITLER MD
Internal Medicine (Cardiovascular Disease)
150 LOCKWOOD AVE, SUITE 28
NEW ROCHELLE, NY 10801
Westchester County (914) 633-7870
CHERYL TUGMAN
Nurse Practitioner (Family)
150 LOCKWOOD AVE
NEW ROCHELLE, NY 10801
Westchester County (914) 235-6900
PRIVATE MEDICAL GROUP OF NEW ROCHELLE
Internal Medicine
150 LOCKWOOD AVE, SUITE 32
NEW ROCHELLE, NY 10801
Westchester County (914) 632-1235
MS. MARILYN B MIELE N.P.
Nurse Practitioner (Family)
150 LOCKWOOD AVE, SUITE 28
NEW ROCHELLE, NY 10801
Westchester County (914) 633-7870

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 James Mussman's NPI number?

The NPI number for James Mussman is 1346219615. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is James Mussman located?

James Mussman practices at 150 Lockwood Ave Suite 32, New Rochelle, NY 10801. The listed phone number is (914) 632-1235.

What is James Mussman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Mussman enrolled in Medicare?

Yes. James Mussman 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.

Does James Mussman hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0711073) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is James Mussman affiliated with any hospitals?

According to CMS data, James Mussman is affiliated with Montefiore New Rochelle Hospital and White Plains Hospital Center.

When was this NPI record last updated?

The NPPES record for James Mussman was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.