Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Abdul-Samad Mirza

Individual provider Neuromusculoskeletal Medicine & OMM Physician · NPI 1619430782

Abdul-Samad Mirza is an Interventional Pain Management in Garden City, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2022, 4 years ago. Practices with Pain Physicians Ny PLLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and New York.

Years since qualifying
4
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
FL, NY
In the registry since
2019
Specialties on file
2

Practice location Address checks out

107 Mitchel Field Way
Garden City, NY 11530-5034
Phone: (631) 813-6869
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuromusculoskeletal Medicine & OMM Physician (primary) Taxonomy 204D00000X · Licence 323388 (NY)
Neuromusculoskeletal Medicine & OMM Physician Taxonomy 204D00000X · Licence OS18253 (FL)

Record details

NPI number1619430782
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 7, 2019
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL PAIN MANAGEMENT
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2022 (4 years in practice)
Group practice Pain Physicians Ny Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Garden City