Organization
MUJTABA NP WALK IN CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASSAD MUJTABA NP (PRESIDENT)
(973) 200-2430
Entity
Organization
Contact information
Practice address
859 CLIFTON AVE STE H, CLIFTON, NJ 07013-1715
(973) 200-2430
(866) 464-3951
Mailing address
859 CLIFTON AVE STE H, CLIFTON, NJ 07013-1715
(973) 200-2430
(866) 464-3951
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0818569
—
NJ
01
—
1154313179
FAMILY MEDICINE MD
—
01
—
1174079990
INTERNAL MEDICINE, MD
—
01
—
14540436
CAQH
—
01
—
1699230359
NURSE PRACTITIONER
—
Enumeration date
02/01/2021
Last updated
09/10/2025
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