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MUTAZ SHAHEEN
NPI 1760164602
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since August 01, 2023PECOS Enrolled
234 E 149TH ST, BRONX, NY 10451(718) 579-5000 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mutaz Shaheen NPPES

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

MUTAZ SHAHEEN (NPI 1760164602) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1760164602
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMUTAZ SHAHEEN
Location Address234 E 149TH STBronx, NY 10451-5504
Mailing Address1169 Hoe Ave Apt 4cBronx, NY 10459-4425
Phone(718) 579-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 1, 2023
NPPES CertifiedAugust 1, 2023
✔ NPI 1760164602 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.
234 E 149TH ST, Bronx, NY 10451
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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 (PECOS)

Mutaz Shaheen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204308075
PECOS Enrollment IDI20260611004825
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.

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.

DR. THOMAS HENRY PARRY M.D.
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-6010
MAIRA FONSECA
Dermatology
234 E 149TH ST
BRONX, NY 10451
Bronx County (212) 639-3210
DR. RO GONSALVES M.D.
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
JONATHAN V LI MD
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
ZULEYKA A GRULLON LCSW
Social Worker (Clinical)
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
JOSHUA RONALD GRAVEL MD, MSC
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
REBEKAH SNITKOFF
Physician Assistant
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
MR. CARLOS ESTEBAN NARVAEZ MD
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000

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 Mutaz Shaheen's NPI number?

The NPI number for Mutaz Shaheen is 1760164602. It was assigned to this individual provider in the NPPES registry on August 1, 2023.

Where is Mutaz Shaheen located?

Mutaz Shaheen practices at 234 E 149th St, Bronx, NY 10451. The listed phone number is (718) 579-5000.

What is Mutaz Shaheen's specialty?

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

Is Mutaz Shaheen enrolled in Medicare?

Yes. Mutaz Shaheen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mutaz Shaheen was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.