Mujtaba, Assad

Mujtaba, Assad is an individual health care provider with primary practice located at 859 Clifton Ave Ste H , Clifton NJ 07013-1715. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Mujtaba, Assad can be contacted via phone (973) 200-2430.

Contact Information

Primary practice address
859 Clifton Ave Ste H Clifton NJ 07013-1715
Fax: (866) 464-3951
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 344045 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ01103900 New Jersey

Profile Details

NPI number 1699230359
LBN Legal business name Mujtaba, Assad
Credentials DNP, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2019
Last updated Jan 21st, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699230359 NPPES
New York MEDICAID 05509522
New York MEDICAID 0818569

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