MUBUSHAR IKRAM RAZA NPI 1588017164

NPI Information

  • NPI: 1588017164
  • Provider Name: MUBUSHAR IKRAM RAZA
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1757 NEW YORK AVE
    HUNTINGTON STATION, NY
    ZIP 11746
  • Phone: (631) 983-3237

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NPI Details

Mubushar Ikram Raza is an adult health nurse practitioner in Huntington Station, NY with 10 years of experience. Mubushar Ikram Raza NPI is 1588017164. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

1757 NEW YORK AVE
HUNTINGTON STATION, NY
ZIP 11746-407
Phone: (631) 983-3237
Fax: (631) 961-8775

The NPI 1588017164 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Testing for presence of drug, read by direct observation (HCPCS:80305)
  • Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0483)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Injection, lidocaine hcl for intravenous infusion, 10 mg (HCPCS:J2001)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Injection of trigger points, 3 or more muscles (HCPCS:20553)

The enumeration date for this NPI number is 7/19/2016 and was last updated on 6/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health307814NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1307814OTHERNEW YORK307814

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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