MR. ATHAR MUJTABA NP - NPI 1891355400 - Nurse Practitioner in Corona, NY

Q: What is Athar Mujtaba's NPI number?

The NPI number for Athar Mujtaba is 1891355400. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Q: What is Athar Mujtaba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Athar Mujtaba was last updated on January 15, 2021. 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.

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About Mr. Athar Mujtaba Np NPPES

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

MR. ATHAR MUJTABA NP (NPI 1891355400) is an individual family provider in Corona, New York, licensed in New York (344517) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1891355400

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. ATHAR MUJTABACredential: NP

Location Address10426 ROOSEVELT AVECorona, NY 11368

Mailing Address10426 Roosevelt AveCorona, NY 11368 · (718) 533-0991 · Fax (833) 969-0190

Phone(718) 533-0991

Fax(833) 969-0190

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJune 17, 2019

Last NPPES UpdateJanuary 15, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2021

✔ NPI 1891355400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 344517

10426 ROOSEVELT AVE, Corona, NY 11368

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Mr. Athar Mujtaba Np 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 ID6901210376

PECOS Enrollment IDI20210204000156

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 11368 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AYESHA MUJTABA ARNP, CNM

Advanced Practice Midwife