JUSTIN BRUNO MIRZA DO
NPI 1356648570
Orthopaedic Surgery in Far Rockaway, NY

Active since February 24, 2011PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
51-15 BEACH CHANNEL DRIVE, PENINSULA HOSPITAL CENTER, FAR ROCKAWAY, NY 11691(718) 734-3020 Get Directions Write a Review

NPPES record last updated: February 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Bruno Mirza Do NPPES

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

JUSTIN BRUNO MIRZA DO (NPI 1356648570) is an individual orthopaedic surgery provider in Far Rockaway, New York, licensed in New York (258198) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS, is affiliated with St Charles Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2009).

NPPES Registry Identity

NPI1356648570
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJUSTIN BRUNO MIRZACredential: DO
Location Address51-15 BEACH CHANNEL DRIVE, PENINSULA HOSPITAL CENTERFar Rockaway, NY 11691
Mailing Address51-15 Beach Channel Drive, Peinisula Hospital CenterFar Rockaway, NY 11691
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2009
Enumeration DateFebruary 24, 2011
NPI 1356648570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NY · 258198
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.
51-15 BEACH CHANNEL DRIVE, Far Rockaway, NY 11691

Other Identifiers 1

Medicaid258198NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Justin Bruno Mirza Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476868563
PECOS Enrollment IDI20150819006655
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
359 services230 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
314 services218 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
247 services139 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
175 services175 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
133 services100 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
120 services62 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330246
Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County
Birthing friendly

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11691 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
2 suppliers19 claims19 services$102.08 avg. paid by Medicare
Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment L3808
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$299.39 avg. paid by Medicare
Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3906
DME-Orthotic Devices · category DF000N
1 supplier17 claims17 services$312.28 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
3 suppliers14 claims15 services$60.92 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3923
DME-Orthotic Devices · category DF000N
1 supplier18 claims23 services$60.61 avg. paid by Medicare
Addition to upper extremity orthosis, sock, fracture or equal, each L3995
DME-Orthotic Devices · category DF000N
2 suppliers19 claims38 services$33.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Family Medicine (Adult Medicine)
51-15 BEACH CHANNEL DRIVE
FAR ROCKAWAY, NY 11691
Family Medicine
51-15 BEACH CHANNEL DRIVE
FAR ROCKAWAY, NY 11691
Pathology (Anatomic Pathology & Clinical Pathology)
51-15 BEACH CHANNEL DRIVE
FAR ROCKAWAY, NY 11691

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 Justin Mirza's NPI number?

The NPI number for Justin Mirza is 1356648570. It was assigned to this individual provider in the NPPES registry on February 24, 2011.

Where is Justin Mirza located?

Justin Mirza practices at 51-15 Beach Channel Drive Peninsula Hospital Center, Far Rockaway, NY 11691. The listed phone number is (718) 734-3020.

What is Justin Mirza's specialty?

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

Is Justin Mirza enrolled in Medicare?

Yes. Justin Mirza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Justin Mirza affiliated with any hospitals?

According to CMS data, Justin Mirza is affiliated with St Charles Hospital and St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Mirza was last updated on February 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.