Nasreen M Mirza, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1228871 Issued in NY

Practice address

888 Fountain Ave
Brooklyn, NY 11208-5907

Phone

(718) 642-6063

Fax

(781) 642-3231

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497974208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 FOUNTAIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112085907",
            "telephone_number": "718-642-6063",
            "fax_number": "781-642-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 FOUNTAIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112085907",
            "telephone_number": "718-642-6063",
            "fax_number": "781-642-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "NASREEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "1228871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bilal Mohammad Mirza, MD
• Bushra Mirza, FNP
• Faisal Z. Mirza, D.D.S.
• Junaid Mirza, MD
• Masood Ali Mirza, MD
• Samina Yasmin Mirza, M.D.
• Sheharyar Mirza, PHARMD
• Verda Sohail Mirza
• Zunaira R Mirza
• Maryam Mirzaagha, C.M

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.