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

Individual provider Family Medicine Physician · NPI 1780645739

Mushtaq Memon, MD is a Family Medicine Physician in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1050 Clove Rd
Staten Island, NY 10301-3627
Phone: (718) 816-6440
Fax: (718) 816-3611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 228479 (NY)

Record details

NPI number1780645739
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 29, 2006
Last updated in NPPESOctober 10, 2012

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