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MUSHTAQ MEMON MD
NPI 1780645739
Family Medicine in Staten Island, NY

Active since March 29, 2006PECOS Enrolled
1050 CLOVE RD, STATEN ISLAND, NY 10301(718) 816-6440(718) 816-3611 Get Directions Write a Review

NPPES record last updated: October 10, 2012. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mushtaq Memon Md NPPES

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

MUSHTAQ MEMON MD (NPI 1780645739) is an individual family medicine provider in Staten Island, New York, licensed in New York (228479) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780645739
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMUSHTAQ MEMONCredential: MD
Location Address1050 CLOVE RDStaten Island, NY 10301-3627
Mailing Address1050 Clove RdStaten Island, NY 10301-3627 · (718) 816-6440 · Fax (718) 816-3611
Phone(718) 816-6440
Fax(718) 816-3611
Sole ProprietorYes
Enumeration DateMarch 29, 2006
Last NPPES UpdateOctober 10, 2012
✔ NPI 1780645739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 228479
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1050 CLOVE RD, Staten Island, NY 10301
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Other Identifiers 3

Medicare UPINI00511
Medicare ID-Type Unspecified5250B1
Medicaid02457743NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mushtaq Memon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims

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.

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.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10301 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
$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.

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.

DEEPAK VADADA MD
Internal Medicine (Gastroenterology)
1050 CLOVE RD
STATEN ISLAND, NY 10301
Richmond County (718) 816-6440
MS. KERRIE MOLLOY-BARR N.P.
Nurse Practitioner (Family)
1050 CLOVE RD
STATEN ISLAND, NY 10301
Richmond County (718) 816-6440
ASHRAF SABRY HANNA MD
Internal Medicine
1050 CLOVE RD
STATEN ISLAND, NY 10301
Richmond County (718) 816-6440
DR. KEITH JOSEPH DAHL D.O.
Internal Medicine (Gastroenterology)
1050 CLOVE RD
STATEN ISLAND, NY 10301
Richmond County (718) 816-6440
LANCE JUNG MD
Surgery
1050 CLOVE RD
STATEN ISLAND, NY 10301
Richmond County (718) 816-6440
ADVANTAGECARE PHYSICIANS PC
Internal Medicine
1050 CLOVE RD, UCC
STATEN ISLAND, NY 10301
Richmond County (646) 680-1525
MARCELINA MEDRANO MD
Pediatrics
1050 CLOVE RD
STATEN ISLAND, NY 10301
Richmond County (718) 816-6440
JAMES GERARD REILLY D.O.
Obstetrics & Gynecology
1050 CLOVE RD
STATEN ISLAND, NY 10301
Richmond County (718) 816-6440

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 Mushtaq Memon's NPI number?

The NPI number for Mushtaq Memon is 1780645739. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Mushtaq Memon located?

Mushtaq Memon practices at 1050 Clove Rd, Staten Island, NY 10301. The listed phone number is (718) 816-6440.

What is Mushtaq Memon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mushtaq Memon enrolled in Medicare?

Yes. Mushtaq Memon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mushtaq Memon was last updated on October 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.