Muhammad A Mirza, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

233930 Issued in NY

Practice address

2015 Grand Concourse
Bronx, NY 10453-4303

Phone

(718) 299-7295

Fax

(718) 299-6797

NPI assigned

Nov 29, 2005

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: muhammad.mirza@25253749.chartlogic.direct-ci.com

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.

• NJ Turnpike Rehabilitation PC

  • General Practice Physician
  • Cedar Grove, NJ
  • NPI 1316255987
  NPD (past) Authorized official
• Allied Medical and Diagnostic Services, Dispensary

  • Non-Pharmacy Dispensing Site
  • New York, NY
  • NPI 1235520271
  NPD
• Nyc 23Rd Street Medical PLLC

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1609304179
  NPD (past)
• Azz Medical Associates PC

  • Internal Medicine Physician
  • Ewing, NJ
  • NPI 1699704809
  NPD (past)
• Matawan Aberdeen Heart & Medical Center

  • Specialist
  • Matawan, NJ
  • NPI 1588997738
  NPD (past)
• Regroup Behavioral Health Services,PC

  • Clinical Social Worker
  • Plainfield, NJ
  • NPI 1164542718

  Internal Medicine

  NPD (past)
• Regroup With Princetta'S Behavioral Health Services,LLC

  • Social Worker
  • Plainfield, NJ
  • NPI 1013246966
  NPD (past)
• Tristate Medical Associates, PC

  • Family Medicine Physician
  • Clifton, NJ
  • NPI 1891880019
  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1881677409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 WILLIAMSBRIDGE RD FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612507",
            "telephone_number": "718-618-0401",
            "fax_number": "347-479-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534303",
            "telephone_number": "718-299-7295",
            "fax_number": "718-299-6797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Eileen Dr",
            "address_purpose": "LOCATION",
            "city": "Cedar Grove",
            "state": "NJ",
            "postal_code": "070091352",
            "country_code": "US",
            "telephone_number": "973-493-7607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "MUHAMMAD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "233930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Mirro-Brown
• Rachel Mirsky, MD
• Justin Mirville
• Arthur Kenneth Mirwis, OD
• Asma Mirza
• Sumaiyah A. Mirza, PA-C
• Taimur Mirza, MD
• Riva Mirzakandova
• Ryan Mischler, MD
• Aparajita Mishra

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.