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
Phone: (973) 200-2430
Fax: (866) 464-3951
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699230359 | NPPES |
| New York | MEDICAID | 05509522 | |
| New York | MEDICAID | 0818569 |
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