MR. ATHAR MUJTABA NP
NPI 1891355400
Nurse Practitioner - Family in Corona, NY
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Athar Mujtaba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Corona, NY 11368
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Mujtaba Np In Family Health PC
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
CORONA, NY 11368
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 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.
Where is Athar Mujtaba located?
Athar Mujtaba practices at 10426 Roosevelt Ave, Corona, NY 11368. The listed phone number is (718) 533-0991.
What is Athar Mujtaba's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Athar Mujtaba enrolled in Medicare?
Yes. Athar Mujtaba 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.
Which organization bills Medicare for Athar Mujtaba's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Athar Mujtaba reassigns Medicare benefits to Mujtaba Np In Family Health, P.C. (Corona, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Athar Mujtaba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Mr. Athar Mujtaba, NP · NPI 1891355400
Family physician in Corona, New York. Individual provider, active in the CMS NPPES registry since June 17, 2019.
## Identity
- **NPI:** 1891355400 (Entity type: Individual)
- **Enumerated:** June 17, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 344517 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10426 ROOSEVELT AVE, Corona, NY 11368
- **Phone:** (718) 533-0991 · **Fax:** (833) 969-0190
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mujtaba Np In Family Health, P.C. (NPI 1639765704, Corona, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1891355400) · Data from the CMS NPPES public registry.