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MUTAZ MOHAMMAD ALMOMANI
NPI 1861279275
Student in an Organized Health Care Education/Training Program in Nutley, NJ

Active since September 11, 2023PECOS Enrolled
100 KINGSLAND ST, NUTLEY, NJ 07110(551) 799-3865 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mutaz Mohammad Almomani NPPES

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

MUTAZ MOHAMMAD ALMOMANI (NPI 1861279275) is an individual student in an organized health care education/training program in Nutley, New Jersey and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861279275
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMUTAZ MOHAMMAD ALMOMANI
Location Address100 KINGSLAND STNutley, NJ 07110-1277
Mailing Address100 Kingsland StNutley, NJ 07110-1277 · (551) 799-3865
Phone(551) 799-3865
Sole ProprietorNo
Enumeration DateSeptember 11, 2023
NPPES CertifiedSeptember 10, 2023
✔ NPI 1861279275 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.

100 KINGSLAND ST, Nutley, NJ 07110
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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 Mohammad Almomani 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.

Frequently Asked Questions

What is Mutaz Almomani's NPI number?

The NPI number assigned to this healthcare provider is 1861279275, enumerated as an "individual" on September 11, 2023.

Where is the provider located?

The provider is located at 100 KINGSLAND ST NUTLEY, NJ 07110 and the phone number is (551) 799-3865.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.