M Ather Mirza PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

M ATHER MIRZA PC

Practice address

290 E Main St Ste 200
Smithtown, NY 11787-2916

Phone

(631) 361-5302

Fax

(631) 361-8607

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Mohammed Ather Mirza, MDNPI 1619904240

Title

Owner

Phone

(631) 361-5302

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Mohammed Ather Mirza, MD

  • Orthopaedic Hand Surgery Physician
  • Smithtown, NY
  • NPI 1619904240

  Specialist

  Medicare reassignment Care Compare group NPD Authorized official
• Faruk Razzak, D.O

  • Interventional Pain Medicine Physician
  • Smithtown, NY
  • NPI 1558594929
  Medicare reassignment Care Compare group NPD
• Phillip Tomas Guillen, MD

  • Orthopaedic Hand Surgery Physician
  • Smithtown, NY
  • NPI 1568781268

  Orthopaedic Surgery

  Medicare reassignment NPD

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1063684744",
    "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": "631-361-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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": "631-361-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M ATHER MIRZA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "ATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-361-5302",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Patricia Lye, MHC
• Brenna G Lynch
• Susan Lynch, PHYSICAL THERAPIST
• Suzette Lynch
• Howard S Lynn, MD
• Ma Healing Therapy
• Lanie Alvarez Maagad
• Jennifer Carolina Macancela
• Gilda Macdonald, R-LCSW
• Kristin J Macdougall, MD

• Orthopaedic Surgery Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.