Organization Active NPI

Mirza Orthopedics PC

  • Orthopaedic Surgery Physician
  • Smithtown, NY
National Provider Identifier
1043881196
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MIRZA ORTHOPEDICS PC
Practice address
290 E Main St
Smithtown, NY 11787-2916
Phone
(631) 361-5302
Fax
(631) 361-8607
NPI assigned
Jul 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tara Caswell
Title
Office Manager
Phone
(631) 361-5302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

290 E Main St
Smithtown, NY 11787-2916

Mailing address

290 E Main St Ste 200
Smithtown, NY 11787-2916
Phone (631) 361-5302

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1043881196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 E MAIN ST STE 200",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872916",
            "telephone_number": "631-361-5302",
            "fax_number": "631-361-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 E MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872916",
            "telephone_number": "631-361-5302",
            "fax_number": "631-361-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRZA ORTHOPEDICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "CASWELL",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-361-5302"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.