Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ammar Mustafa

Individual provider Physical Therapist · NPI 1023629854

Ammar Mustafa is a Physical Therapist in Private Practice in Ridgewood, New Jersey. Qualified in 2020, 6 years ago. Licensed in New Jersey.

Years since qualifying
6
Licensed in
NJ
In the registry since
2020
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Practice location Address checks out

85 S Maple Ave
Ridgewood, NJ 07450-4561
Phone: (551) 857-5396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01943100 (NJ)

Record details

NPI number1023629854
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 14, 2020
Last updated in NPPESAugust 14, 2020
Certification dateAugust 14, 2020
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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