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ANITA MARIE MUTAWASSIM PA-C
NPI 1740088178
Physician Assistant in Bronx, NY

Active since March 03, 2025PECOS EnrolledAccepts Medicare Assignment
1065 SOUTHERN BLVD, BRONX, NY 10459(718) 589-2440 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 3, 2025, Mar 3, 2025 (2 updates tracked since 2025).

About Anita Marie Mutawassim Pa-c NPPES

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

ANITA MARIE MUTAWASSIM PA-C (NPI 1740088178) is an individual physician assistant in Bronx, New York, licensed in New York (033624) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1740088178
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANITA MARIE MUTAWASSIMCredential: PA-C
Location Address1065 SOUTHERN BLVDBronx, NY 10459-2417
Mailing Address1065 Southern BlvdBronx, NY 10459-2417
Phone(718) 589-2440
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 3, 2025
Last NPPES UpdateApril 3, 20252 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
✔ NPI 1740088178 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 · 033624
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.
1065 SOUTHERN BLVD, Bronx, NY 10459
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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 and accepts Medicare assignment

Anita Marie Mutawassim Pa-c 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 ID8921511304
PECOS Enrollment IDI20250630001222
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10459 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.

SARAH VANEGAS
Social Worker
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (516) 587-9445
MS. CHRISTINA CAMACHO
Nutritionist
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
DR. RACQUEL K MILLWOOD PSY.D.
Psychologist (Clinical)
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
DR. MARIA DELIA CROSBY AGPCNP-BC
Nurse Practitioner (Adult Health)
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
GLORIA RODRIGUEZ FNP
Nurse Practitioner (Family)
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
CHELSEA ALONZO ACEBO PA-C
Physician Assistant
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
HEATHER MOSTBERGER
Social Worker
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440
YOHANNA FILPO DENTAL HYGENIST
Dental Hygienist
1065 SOUTHERN BLVD
BRONX, NY 10459
Bronx County (718) 589-2440

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 Anita Mutawassim's NPI number?

The NPI number for Anita Mutawassim is 1740088178. It was assigned to this individual provider in the NPPES registry on March 3, 2025.

Where is Anita Mutawassim located?

Anita Mutawassim practices at 1065 Southern Blvd, Bronx, NY 10459. The listed phone number is (718) 589-2440.

What is Anita Mutawassim's specialty?

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

Is Anita Mutawassim enrolled in Medicare?

Yes. Anita Mutawassim 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.

When was this NPI record last updated?

The NPPES record for Anita Mutawassim was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.