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

Individual provider Physician Assistant · NPI 1649758632

Kulsoom Mushtaq, PA is a Physician Assistant in Oceanside, New York. Qualified in 2018, 8 years ago. Practices with South Nassau Physician Group PC, an 18-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1 Healthy Way
Oceanside, NY 11572-1551
Phone: (516) 632-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 022381 (NY)

Record details

NPI number1649758632
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 1, 2018
Last updated in NPPESDecember 29, 2020
Certification dateDecember 29, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice South Nassau Physician Group Pc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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