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

Mr. Athar Mujtaba, NP

Individual provider Family Nurse Practitioner · NPI 1891355400

Mr. Athar Mujtaba, NP is a Nurse Practitioner in Corona, New York. Qualified in 2019, 7 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10426 Roosevelt Ave
Corona, NY 11368
Phone: (718) 533-0991
Fax: (833) 969-0190
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 344517 (NY)

Record details

NPI number1891355400
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedJune 17, 2019
Last updated in NPPESJanuary 15, 2021
Certification dateJanuary 15, 2021
Mailing address10426 Roosevelt Ave, Corona, NY 11368

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Corona