Mirza Adnan

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

P125651 Issued in NY

Practice address

600 E Crescent Ave Ste 305
Upper Saddle River, NJ 07458-1846

Phone

(845) 738-8770

NPI assigned

Nov 21, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mill Basin Medical Health PCGroup PAC ID 9133566128, 104 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mill Basin Medical Health PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1346006202

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Clear Choice Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1285155499

  Single Specialty

  Medicare reassignment NPD
• Ilm Medical Care PLLC

  • Specialist
  • Brooklyn, NY
  • NPI 1023442035

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1083489843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 GENESEE AVE FL 1",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123206",
            "telephone_number": "347-662-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E CRESCENT AVE STE 305",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581846",
            "telephone_number": "845-738-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADNAN",
        "first_name": "MIRZA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P125651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Sports PT LLC
• Advanced Sports PT One LLC
• Advantage Speech & Language Services
• Nadeem Akhtar, PHARMACIST
• Ramon L. Alcala, M.D.

• Internal Medicine Physician in Upper Saddle River, NJ
• Providers in Upper Saddle River, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.