Active NPI
Farooq Mirza, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 25MA12971100
- Practice address
- 177 Fort Washington Ave
New York, NY 10032-3733 - Phone
- (319) 353-6425
- NPI assigned
- Jun 7, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 290942 | NY | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 25MA12971100 | NJ | Primary |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 290942 | NY |
Addresses
Primary practice location
177 Fort Washington Ave
New York, NY 10032-3733
Mailing address
177 Fort Washington Ave
New York, NY 10032-3733
Other practice location 1
707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-7575
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fmirza70330@direct.garnethealth.org | Direct | Garnet Health Doctors PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
161 Fort Washington Ave
New York, NY 10032-3729
Phone (212) 305-8559
210 Somerset St
New Brunswick, NJ 08901-1942
Phone (732) 235-8845
622 W 168TH St
New York, NY 10032-3720
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12971100 | NJ | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 290942 | NY | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stamford Health Medical Group Inc | Single Specialty | Current | Accepting new patients |
| Rutgers Health-RWJ Neurosurgery Faculty | Single Specialty | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Single Specialty | Current | Accepting new patients |
| Rutgers Health-RWJ Neurosurgery Faculty | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Single Specialty | Past | Accepting new patients |
Locations
29 Hospital Plz
Ste 601
Stamford, CT 06902
Phone (203) 276-2451
29 Hospital Plz
Ste 501
Stamford, CT 06902
Phone (203) 276-2321
5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644
210 Somerset St
New Brunswick, NJ 08901
Phone (201) 668-0427
707 E Main St
Middletown, NY 10940
Phone (845) 333-1000
177 Fort Washington Ave
New York, NY 10032
Phone (212) 305-3090
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- fam9020@direct.nyp.org
- fmirza70330@direct.garnethealth.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://fhir4.healow.com/fhir/r4/ABCIBA
Organizations & group practices 8
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.
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Single Specialty
-
- Urology Physician
- New Brunswick, NJ
- NPI 1710012604
-
- General Practice Physician
- Stamford, CT
- NPI 1154633980
Single Specialty
-
- Anesthesiology Physician
- New York, NY
- NPI 1477068971
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Plastic Surgery Physician
- New Brunswick, NJ
- NPI 1750463428
Single Specialty
-
- Durable Medical Equipment & Medical Supplies
- Neptune, NJ
- NPI 1861290744
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1346243375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1396039368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 FORT WASHINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 FORT WASHINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323733",
"telephone_number": "319-353-6425"
}
],
"practiceLocations": [
{
"address_1": "707 E Main St",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "NY",
"postal_code": "109402650",
"country_code": "US",
"telephone_number": "845-333-7575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRZA",
"first_name": "FAROOQ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-07",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "NY",
"license": "290942",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NJ",
"license": "25MA12971100",
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NY",
"license": "290942",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fmirza70330@direct.garnethealth.org",
"affiliation": "Y",
"affiliationName": "Garnet Health Doctors PC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "707 E Main St",
"city": "Middletown",
"state": "NY",
"country_code": "US",
"postal_code": "109402650",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.