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: July 19, 2026.

  • Organization
  • Orthopaedic Surgery

About MIRZA ORTHOPEDICS PC

This page provides the complete NPI Profile along with additional information for Mirza Orthopedics Pc, a provider established in Smithtown, New York operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1043881196 assigned on July 2021. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Mirza Orthopedics Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Michelle Clancy (Credentialing Admin)

NPI
1043881196 Verify this NPI
Provider Name
MIRZA ORTHOPEDICS PC
Entity Type
Organization
Location Address
290 E MAIN ST SMITHTOWN, NY 11787
Location Phone
(631) 361-5302
Location Fax
(631) 361-8607
Mailing Address
994 W JERICHO TPKE STE 202A SMITHTOWN, NY 11787
Mailing Phone
(631) 670-7700
Mailing Fax
(631) 343-7760
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-08-2021
Last Update Date
01-17-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHELLE CLANCY

Authorized Official Title
CREDENTIALING ADMIN
Authorized Official Phone
(631) 670-7700

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Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Orthopaedic Surgery
290 E MAIN ST, SUITE 200
SMITHTOWN, NY 11787
Orthopaedic Surgery
290 E MAIN ST, SUITE 700
SMITHTOWN, NY 11787
Occupational Therapist (Hand)
290 E MAIN ST, SUITE 400
SMITHTOWN, NY 11787
Occupational Therapist
290 E MAIN ST, SUITE 400
SMITHTOWN, NY 11787
Occupational Therapist (Hand)
290 E MAIN ST, SUITE 400
SMITHTOWN, NY 11787
Physician Assistant
290 E MAIN ST, SUITE 700
SMITHTOWN, NY 11787
Orthopaedic Surgery (Sports Medicine)
290 E MAIN ST, SUITE 700
SMITHTOWN, NY 11787
Orthopaedic Surgery
290 E MAIN ST, SUITE 700
SMITHTOWN, NY 11787
Specialist
290 E MAIN ST, SUITE 200
SMITHTOWN, NY 11787
Physician Assistant
290 E MAIN ST, SUITE 700
SMITHTOWN, NY 11787
Physician Assistant
290 E MAIN ST, SUITE 700
SMITHTOWN, NY 11787
Orthopaedic Surgery (Hand Surgery)
290 E MAIN ST, SUITE 200
SMITHTOWN, NY 11787
Physician Assistant
290 E MAIN ST
SMITHTOWN, NY 11787
Physician Assistant (Surgical)
290 E MAIN ST, SUITE 700
SMITHTOWN, NY 11787
Occupational Therapist
290 E MAIN ST, SUITE 400
SMITHTOWN, NY 11787

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043881196, enumerated as an "organization" on July 08, 2021.

The provider is located at 290 E MAIN ST SMITHTOWN, NY 11787 and the phone number is (631) 361-5302.

Orthopaedic Surgery with taxonomy code 207X00000X.