KULSOOM MUSHTAQ PA
NPI 1649758632
Physician Assistant in Oceanside, NY

Active since August 01, 2018PECOS EnrolledAccepts Medicare Assignment
1 HEALTHY WAY, OCEANSIDE, NY 11572(516) 632-3000 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2020, Aug 1, 2018 (2 updates tracked since 2018).

About Kulsoom Mushtaq Pa NPPES

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

KULSOOM MUSHTAQ PA (NPI 1649758632) is an individual physician assistant in Oceanside, New York, licensed in New York (022381) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai South Nassau, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1649758632
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKULSOOM MUSHTAQCredential: PA
Location Address1 HEALTHY WAYOceanside, NY 11572-1551
Mailing Address356 Rockaway PkwyValley Stream, NY 11580-2638
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 1, 2018
Last NPPES UpdateDecember 29, 20202 updates tracked since enumeration
NPPES CertifiedDecember 29, 2020
NPI 1649758632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 022381
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 HEALTHY WAY, Oceanside, NY 11572

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

Kulsoom Mushtaq Pa 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 ID648521500
PECOS Enrollment IDI20180917001645
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.

Hospital Affiliations CMS Care Compare

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

Mount Sinai South Nassau

Acute Care Hospitals · Oceanside, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330198
LocationOne Healthy WayOceanside, NY 11572 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11572 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
1 HEALTHY WAY
OCEANSIDE, NY 11572
Pediatrics
1 HEALTHY WAY
OCEANSIDE, NY 11572
Registered Nurse (Lactation Consultant)
1 HEALTHY WAY
OCEANSIDE, NY 11572
Nurse Practitioner (Family)
1 HEALTHY WAY
OCEANSIDE, NY 11572
Nurse Practitioner (Adult Health)
1 HEALTHY WAY
OCEANSIDE, NY 11572
Hospitalist
1 HEALTHY WAY
OCEANSIDE, NY 11572
Nurse Anesthetist, Certified Registered
1 HEALTHY WAY
OCEANSIDE, NY 11572
Student in an Organized Health Care Education/Training Program
1 HEALTHY WAY
OCEANSIDE, NY 11572

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 Kulsoom Mushtaq's NPI number?

The NPI number for Kulsoom Mushtaq is 1649758632. It was assigned to this individual provider in the NPPES registry on August 1, 2018.

Where is Kulsoom Mushtaq located?

Kulsoom Mushtaq practices at 1 Healthy Way, Oceanside, NY 11572. The listed phone number is (516) 632-3000.

What is Kulsoom Mushtaq's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kulsoom Mushtaq enrolled in Medicare?

Yes. Kulsoom Mushtaq 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.

Is Kulsoom Mushtaq affiliated with any hospitals?

According to CMS data, Kulsoom Mushtaq is affiliated with Mount Sinai South Nassau.

When was this NPI record last updated?

The NPPES record for Kulsoom Mushtaq was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.