{"npi":"1679934483","type":"NPI-1","status":"active","name":{"display":"Mrs. Ranya Mustafa","other":[{"code":"1","type":"Formerly known as","value":"MADHOUN, RANYA I"}],"first":"RANYA","last":"MUSTAFA","middle":"M"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"NY","license":"019570"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"NJ","license":"25MP00398700"}]},"addresses":[{"purpose":"LOCATION","street_1":"3O PROSPECT AVE","city":"HACKENSACK","state":"NJ","postal_code":"076011902","country_code":"US","phone":"5519963192","fax":"5519964239"},{"purpose":"MAILING","street_1":"192 EXECUTIVE DR","city":"NEW HYDE PARK","state":"NY","postal_code":"110401051","country_code":"US","phone":"5167079991"}],"license":{"state":"NJ","number":"25MP00398700"},"identifiers":[{"type_code":"01","label":"Other","value":"25MP00398700","state":"NJ","issuer":"STATE LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170308000242","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NJ","pac_id":"6800170093"},{"enrlmt_id":"I20231024003456","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"NY","pac_id":"6800170093"}]},"enumeration_date":"2016-03-08","last_updated":"2020-05-10","_meta":{"source":"NPPES","snapshot_date":"2020-05-10","doc_url":"https://findmynpi.com/api"}}