Provider Demographics
NPI:1346219615
Name:MUSSMAN, JAMES ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROBERT
Last Name:MUSSMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:150 LOCKWOOD AVE
Mailing Address - Street 2:SUITE 32
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-4912
Mailing Address - Country:US
Mailing Address - Phone:914-632-1235
Mailing Address - Fax:914-632-2553
Practice Address - Street 1:150 LOCKWOOD AVE
Practice Address - Street 2:SUITE 32
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-4912
Practice Address - Country:US
Practice Address - Phone:914-632-1235
Practice Address - Fax:914-632-2553
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2024-02-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY228971207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02419107Medicaid
H99861Medicare UPIN
NY200AELMedicare ID - Type Unspecified