Neville M Mirza, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

25MA03703700 Issued in NJ

Practice address

142 Palisade Ave #214
Doctors Office BLDG
Jersey City, NJ 07306

Phone

(201) 963-5753

Fax

(201) 963-5759

NPI assigned

Nov 1, 2006

Sex

Male

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558449017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 PALISADE AVE #214",
            "address_2": "DOCTORS OFFICE BLDG",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-963-5753",
            "fax_number": "201-963-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 PALISADE AVE #214",
            "address_2": "DOCTORS OFFICE BLDG",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-963-5753",
            "fax_number": "201-963-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "NEVILLE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA03703700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind Set ABA LLC
• Mindful Approach LLC.
• Caitlin Miner, DPM
• Maryanne S Miranda
• Muhammed Awais Mirza, PHARMD
• Misha Healthcare LLC
• Emad Girgis Missak, D.C.
• Neha Mistry, PSYD
• Kathryn Mitchell, PT, DPT
• Omieri Eric Mitoko, RPH

• Neurological Surgery Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Neurological Surgery Physician in New Jersey

• 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.