Mudassir Mumtaz, MD
NPI 1639755218 · Student in an Organized Health Care Education/Training Program · Port Jefferson, NY
Mudassir Mumtaz, MD is a Student in an Organized Health Care Education/Training Program provider in Port Jefferson, NY (NPI 1639755218).
Provider details
- NPI number
- 1639755218
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-03-23
- Last updated
- 2021-03-23
- Certified
- 2021-03-23
Frequently asked questions
- What is Mudassir Mumtaz's NPI number?
- Mudassir Mumtaz's National Provider Identifier (NPI) is 1639755218, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mudassir Mumtaz's specialty?
- Mudassir Mumtaz is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Mudassir Mumtaz located?
- Mudassir Mumtaz's practice location on file with NPPES is 75 N Country Rd, Port Jefferson, NY 11777-2190.
- What is Mudassir Mumtaz's phone number?
- The practice phone number listed in the NPPES registry for Mudassir Mumtaz is (631) 686-2549.
- Is Mudassir Mumtaz's NPI active?
- Yes — Mudassir Mumtaz's NPI (1639755218) is active in the NPPES registry as of the last update on 2021-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.