1. Home
  2. Directory
  3. New York
  4. Smithtown
  5. Orthopaedic Surgery
  6. NPI Profile

MIRZA ORTHOPEDICS PC
NPI 1043881196
Orthopaedic Surgery in Smithtown, NY

Active since July 08, 2021
290 E MAIN ST, SMITHTOWN, NY 11787(631) 361-5302(631) 361-8607 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mirza Orthopedics Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRZA ORTHOPEDICS PC (NPI 1043881196) is a healthcare organization registered as an orthopaedic surgery in Smithtown, New York and active in the NPI registry since July 2021. The organization lists Michelle Clancy, Credentialing Admin, as its authorized official.

NPPES Registry Identity

NPI1043881196
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameMIRZA ORTHOPEDICS PC
Location Address290 E MAIN STSmithtown, NY 11787-2916
Mailing Address994 W Jericho Tpke Ste 202aSmithtown, NY 11787-3211 · (631) 670-7700 · Fax (631) 343-7760
Phone(631) 361-5302
Fax(631) 361-8607
Organization SubpartNo
Authorized OfficialMichelle ClancyCredentialing Admin · (631) 670-7700
Enumeration DateJuly 8, 2021
Last NPPES UpdateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
✔ NPI 1043881196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
290 E MAIN ST, Smithtown, NY 11787
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRIAN S. GOBBI OTR
Occupational Therapist
290 E MAIN ST, SUITE 400
SMITHTOWN, NY 11787
Suffolk County (631) 361-3325
ELIZABETH TENGCO RPA-C
Physician Assistant
290 E MAIN ST
SMITHTOWN, NY 11787
Suffolk County (631) 361-4802
STUART B. CHERNEY, M.D., P.C.
Orthopaedic Surgery (Sports Medicine)
290 E MAIN ST, SUITE 700
SMITHTOWN, NY 11787
Suffolk County (631) 361-7867
LONG ISLAND HAND REHAB
Occupational Therapist
290 E MAIN ST, SUITE 400
SMITHTOWN, NY 11787
Suffolk County (631) 361-3325
MS. ROBIN J. CONVERSANO RPA-C
Physician Assistant (Surgical)
290 E MAIN ST, SUITE 700
SMITHTOWN, NY 11787
Suffolk County (631) 361-7867
DR. JOHN LABIAK
Orthopaedic Surgery
290 E MAIN ST, SUITE 200
SMITHTOWN, NY 11787
Suffolk County (631) 265-1855
MRS. JOAN R. GRILLI OTR/CHT
Occupational Therapist (Hand)
290 E MAIN ST, SUITE 400
SMITHTOWN, NY 11787
Suffolk County (631) 361-3325
JOHN S DEMARCO RPAC
Physician Assistant
290 E MAIN ST, SUITE 700
SMITHTOWN, NY 11787
Suffolk County (631) 361-4802

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mirza Orthopedics PC's NPI number?

The NPI number for Mirza Orthopedics PC is 1043881196. It was assigned to this organization in the NPPES registry on July 8, 2021.

Where is Mirza Orthopedics PC located?

Mirza Orthopedics PC is located at 290 E Main St, Smithtown, NY 11787. The listed phone number is (631) 361-5302.

What is Mirza Orthopedics PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Mirza Orthopedics PC was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.