NPIMap

Individual provider Active NPI

Imran A Mirza, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Deptford, NJ
National Provider Identifier
1376573204
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
MD431989 Issued in PA
Practice address
1132 Cooper St
Deptford, NJ 08096-3014
Phone
(856) 848-8060
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08024700 NJ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD431989 PA Primary
Urgent Care Clinic/Center 261QU0200X 25MA08024700 NJ

Addresses

Primary practice location

1132 Cooper St
Deptford, NJ 08096-3014

Mailing address

PO Box 69
Mickleton, NJ 08056-0069
Phone (856) 848-8060

Other identifiers 3

IdentifierTypeStateIssuer
1019810230002MedicaidPA
1019810230001MedicaidPA
1980195OtherPABS HIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080128000445 NJ Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Other (Physician) 1759474679 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ultra Care Clinics LLC 4 clinicians
Deptford Internal Medicine Associates LLC 2 clinicians

Practice addresses (Care Compare)

1132 Cooper St
Suite 1
Deptford, NJ 08096-3014
Phone (856) 848-8060

Hospital & facility affiliations

  • Moorestown Visiting Nurse Association Home health agency, Moorestown, NJ, CCN 317048
  • Samaritan Healthcare and Hospice Hospice, Mount Laurel, NJ, CCN 311504
  • Lighthouse Hospice Hospice, Cherry Hill, NJ, CCN 311536
  • Vitality Hospice and Palliative Care Hospice, Burlington, NJ, CCN 311588
  • Grace Healthcare Services LLC Hospice, Edison, NJ, CCN 311563
  • Red Oak Hospice LLC Hospice, Bridgeton, NJ, CCN 311586
  • River Front Rehabilitation and Healthcare Center Nursing home, Pennsauken, NJ, CCN 315225
  • Cedar Grove Respiratory and Nursing Center Nursing home, Williamstown, NJ, CCN 315257
  • Atlas Rehabilitation & Healthcare at West Deptfor Nursing home, West Deptford, NJ, CCN 315246
  • Atlas Post Acute at Woodbury Country Club Nursing home, Woodbury, NJ, CCN 315521
  • Atlas Rehabilitation and Healthcare at Washington Nursing home, Sewell, NJ, CCN 315506

Merit-based Incentive Payment System (MIPS)

Final score
17.61 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
58.69

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Department of Medicine Group PA Critical Care Medicine CurrentSince May 1, 2015 Accepting new patients
CMC Department of Medicine Group PA CurrentSince May 1, 2015 Accepting new patients
Deptford Internal Medicine Associates LLC CurrentSince Sep 15, 2018 Accepting new patients
Welcare Pediatrics LLC Current Accepting new patients
Ultra Care Clinics LLC Urgent Care CurrentSince Mar 7, 2014 Accepting new patients
Kennedy Medical Group Practice, P.C. Internal Medicine PastSince Jul 17, 2012 Accepting new patients
West Deptford SNF Operations LLC Past Accepting new patients
Cooper River Garden Group LLC Past Accepting new patients
Intensivist Group of Pennsylvania, PC Internal Medicine Past Accepting new patients
Cooper Care LLC Past Accepting new patients

Locations

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1132 Cooper St
Ste 3
Deptford, NJ 08096

794 N Forklanding Rd
Maple Shade, NJ 08052
Phone (856) 779-9333

5101 N Park Dr
Pennsauken, NJ 08109
Phone (856) 665-8844

69 1st Ave
Raritan, NJ 08869
Phone (800) 631-5250

685 Salina Rd
Sewell, NJ 08080
Phone (856) 468-2500

378 Fries Mill Rd
Sewell, NJ 08080
Phone (856) 218-4200

2601 E Evesham Rd
Voorhees, NJ 08043
Phone (856) 596-1113

550 Jessup Rd
West Deptford, NJ 08086
Phone (609) 922-4700

1420 S Black Horse Pike
Williamstown, NJ 08094
Phone (856) 875-0100

1132 Cooper St
Woodbury, NJ 08096

1511 Clements Bridge Rd
Woodbury, NJ 08096
Phone (856) 513-4124

1132 Cooper St
Ste 1
Woodbury, NJ 08096

467 Cooper St
Woodbury, NJ 08096
Phone (856) 237-6856

Interoperability endpoints

  • Direct secure messaging: imranmirza@uccl-nj.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Complete Care at Kresson View LLCVoorhees, NJ, CCN 315207 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2021
Jul 1, 2021
Transcend Hospice and Palliative CareSewell, NJ, CCN 311582 Hospice Contracted Managing Employee Nov 1, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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 11

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1376573204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "MICKLETON",
            "state": "NJ",
            "postal_code": "080560069",
            "telephone_number": "856-848-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 COOPER ST",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080963014",
            "telephone_number": "856-848-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "IMRAN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08024700",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD431989",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NJ",
            "license": "25MA08024700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019810230002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019810230001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS HIGHMARK",
            "identifier": "1980195",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deptford, NJ

Sources for this page

Verify at the official NPI Registry.