Organization Active NPI

Mirza Medical Services PLLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Floral Park, NY
National Provider Identifier
1689463713
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
MIRZA MEDICAL SERVICES PLLC
Practice address
25913 Hillside Ave
Floral Park, NY 11004-1622
Phone
(516) 321-0956
NPI assigned
May 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Abdul-Samad Mirza, MD,DONPI 1619430782
Title
Owner
Phone
(516) 808-2535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X Primary

Addresses

Primary practice location

25913 Hillside Ave
Floral Park, NY 11004-1622

Mailing address

107 Mitchel Field Way
Garden City, NY 11530-5034
Phone (516) 808-2535

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL MVERMA115@GMAIL.COM Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1689463713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MITCHEL FIELD WAY",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305034",
            "telephone_number": "516-808-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25913 HILLSIDE AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110041622",
            "telephone_number": "516-321-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRZA MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "ABDUL-SAMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-808-2535",
        "authorized_official_credential": "MD,DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MVERMA115@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25913 Hillside Ave",
            "city": "Floral Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110041622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.