Individual provider Active NPI

Nadia M. Mirza, M.D.

  • Diagnostic Radiology Physician
  • Denville, NJ
National Provider Identifier
1891021986
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MAO9118500 Issued in NJ
Practice address
25 Pocono Rd
St Clare'S Health System. DPT. of Radiology
Denville, NJ 07834-2954
Phone
(973) 983-5261
Fax
(201) 526-8333
NPI assigned
Oct 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 260609 NY
Diagnostic Radiology Physician 2085R0202X 25MAO9118500 NJ Primary

Addresses

Primary practice location

25 Pocono Rd
St Clare'S Health System. DPT. of Radiology
Denville, NJ 07834-2954

Mailing address

PO Box 525
Hoboken, NJ 07030-0525
Phone (201) 683-6922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121211000497 NJ Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0143472548 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Buffalo School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ancillary Services of Practice Associates PAGroup PAC ID 4981026192, 99 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5370

Hospital & facility affiliations

  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Newton Medical Center Hospital, Newton, NJ, CCN 310028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MAO9118500NJMDDiagnostic Radiology Physician
260609NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Imaging Services LLC Diagnostic Radiology CurrentSince Dec 14, 2020 Accepting new patients
Ancillary Services of Practice Associates PA Diagnostic Radiology CurrentSince Jan 4, 2021 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Apr 15, 2020 Accepting new patients
University Physician Associates of New Jersey Inc Diagnostic Radiology Current Accepting new patients
Women'S Healthcare Imaging, Corp. CurrentSince Jan 9, 2025 Accepting new patients
University Physician Associates of New Jersey, Inc. CurrentSince Apr 15, 2020 Accepting new patients
Hunterdon Ambulatory Services LLC CurrentSince Jan 29, 2021 Accepting new patients
Practice Associates Medical Group Past Accepting new patients

Locations

471 Broadway
Ste 400
Bayonne, NJ 07002
Phone (973) 436-0511

1121 Route 22
Ste 103
Bridgewater, NJ 08807
Phone (908) 237-4001

100 Commerce Pl
Clark, NJ 07066
Phone (732) 388-2620

140 Central Ave
Ste 600
Clark, NJ 07066
Phone (732) 943-5030

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

3025 Paramus Park Mall
Ste 300
Paramus, NJ 07652
Phone (201) 267-6889

10 Lanidex Plz W
Ste 125
Parsippany, NJ 07054
Phone (973) 267-1274

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

1000 Galloping Hill Rd
Union, NJ 07083
Phone (908) 522-6280

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1891021986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 525",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070300525",
            "telephone_number": "201-683-6922",
            "fax_number": "201-526-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 POCONO RD",
            "address_2": "ST CLARE'S HEALTH SYSTEM. DPT. OF RADIOLOGY",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342954",
            "telephone_number": "973-983-5261",
            "fax_number": "201-526-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "NADIA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "260609",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MAO9118500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.