Individual provider Active NPI

Babar Mirza, MD

  • Specialist
  • Old Bridge, NJ
National Provider Identifier
1265442875
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA049580 Issued in NJ
Practice address
42 Throckmorton LN
2ND Floor
Old Bridge, NJ 08857-2572
Phone
(732) 607-1111
Fax
(732) 607-0552
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA049580 NJ Primary

Addresses

Primary practice location

42 Throckmorton LN
2ND Floor
Old Bridge, NJ 08857-2572

Mailing address

32 N Main St
Marlboro, NJ 07746-1429
Phone (732) 462-4100

Other identifiers 2

IdentifierTypeStateIssuer
5288100MedicaidNJ
MI031798OtherNJMEDICARE ID TYPE UNSPECIFIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20100205000624 NJ Practitioner - Internal Medicine 4385787803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians

Practice addresses (Care Compare)

42 Throckmorton LN
Old Bridge, NJ 08857-2572
Phone (732) 607-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA049580NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Primary Care PC CurrentSince Jan 1, 2023 Accepting new patients
Hackensack Meridian Urgent Care Plus PC CurrentSince Oct 11, 2016 Accepting new patients
Meridian Medical Group - Specialty Care, PC Past Accepting new patients

Locations

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

111 James St
Edison, NJ 08820
Phone (732) 452-9700

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

530 Green St
Iselin, NJ 08830
Phone (732) 283-0440

32 N Main St
Marlboro, NJ 07746
Phone (732) 462-4100

42 Throckmorton Ln
Ste 2
Old Bridge, NJ 08857
Phone (732) 607-0600

300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890

42 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 607-1111

Interoperability endpoints

  • Direct secure messaging: babar.mirza@direct.hackensackmeridian.org
  • Direct secure messaging: babar.mirza@maom.ehi.direct-ci.com
  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1265442875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 N MAIN ST",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461429",
            "telephone_number": "732-462-4100",
            "fax_number": "732-462-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 THROCKMORTON LN",
            "address_2": "2ND FLOOR",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572572",
            "telephone_number": "732-607-1111",
            "fax_number": "732-607-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "BABAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA049580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5288100",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "MI031798",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.