Organization Active NPI

Mirza Medical P.C.

  • Internal Medicine Physician
  • Pomona, NY
National Provider Identifier
1295015972
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
233930 Issued in NY
Legal business name
MIRZA MEDICAL P.C.
Practice address
978 Route 45 Ste 109
Pomona, NY 10970-3512
Phone
(973) 493-7607
NPI assigned
Aug 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Authorized official

Name
Dr. Muhammad A Mirza, MD
Title
President
Phone
(973) 493-7607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 233930 NY Primary

Addresses

Primary practice location

978 Route 45 Ste 109
Pomona, NY 10970-3512

Mailing address

978 Route 45 Ste 109
Pomona, NY 10970-3512
Phone (973) 493-7607

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1295015972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 ROUTE 45 STE 109",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703512",
            "telephone_number": "973-493-7607",
            "fax_number": "973-471-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 ROUTE 45 STE 109",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703512",
            "telephone_number": "973-493-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRZA MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-493-7607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "233930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.