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JUSTIN MIRZA D.O. PC
NPI 1508252321
Orthopaedic Surgery - Hand Surgery in Smithtown, NY

Active since April 08, 2015
290 E MAIN ST, SUITE 200, SMITHTOWN, NY 11787(631) 361-5302(631) 361-8607 Get Directions Write a Review

NPPES record last updated: April 8, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Justin Mirza D.o. Pc NPPES

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

JUSTIN MIRZA D.O. PC (NPI 1508252321) is a healthcare organization registered as a hand surgery in Smithtown, New York and active in the NPI registry since April 2015. The organization lists Justin Bruno Mirza, President, as its authorized official.

NPPES Registry Identity

NPI1508252321
Entity TypeOrganization
Primary Taxonomy207XS0106X
Legal Business NameJUSTIN MIRZA D.O. PC
Location Address290 E MAIN ST, SUITE 200Smithtown, NY 11787-2916
Mailing Address290 E Main St, Suite 200Smithtown, NY 11787-2916 · (631) 361-5302 · Fax (631) 361-8607
Phone(631) 361-5302
Fax(631) 361-8607
Organization SubpartNo
Authorized OfficialJustin Bruno MirzaPresident · (631) 361-5302
Enumeration DateApril 8, 2015
✔ NPI 1508252321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License✔ Licensed in NY · 258198
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
290 E MAIN ST, Smithtown, NY 11787
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

MIRZA ORTHOPEDICS PC
Orthopaedic Surgery
290 E MAIN ST
SMITHTOWN, NY 11787
Suffolk County (631) 361-5302
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

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 D.O. PC's NPI number?

The NPI number for Justin Mirza D.O. PC is 1508252321. It was assigned to this organization in the NPPES registry on April 8, 2015.

Where is Justin Mirza D.O. PC located?

Justin Mirza D.O. PC is located at 290 E Main St Suite 200, Smithtown, NY 11787. The listed phone number is (631) 361-5302.

What is Justin Mirza D.O. PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

When was this NPI record last updated?

The NPPES record for Justin Mirza D.O. PC was last updated on April 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.