Organization Active NPI

Muhammed H. Mirza, M.D., P.a.

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1609046929
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05483800 Issued in NJ
Legal business name
MUHAMMED H. MIRZA, M.D., P.A.
Practice address
2742 J.F. Kennedy Blvd
Jersey City, NJ 07306-5508
Phone
(201) 433-8364
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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

Authorized official

Name
Dr. Muhammed Hussain Mirza, M.D.
Title
Physician
Phone
(201) 433-1317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA05483800 NJ Primary

Addresses

Primary practice location

2742 J.F. Kennedy Blvd
Jersey City, NJ 07306-5508

Mailing address

2742 J.F. Kennedy Blvd
Jersey City, NJ 07306-5508

Other identifiers 1

IdentifierTypeStateIssuer
5620007MedicaidNJ

National Provider Directory

National Provider Directory

Locations

2742 John F Kennedy Blvd
#J
Jersey City, NJ 07306
Phone (201) 433-8364

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1609046929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2742 J.F. KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2742 J.F. KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065508",
            "telephone_number": "201-433-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUHAMMED H. MIRZA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "MUHAMMED",
        "authorized_official_middle_name": "HUSSAIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-433-1317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05483800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5620007",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.