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

Dr. Farooq Mirza, MD

Individual provider Surgery Physician · NPI 1396039368

Dr. Farooq Mirza, MD is a Cardiac Surgery in New York, New York. Qualified in 2007, 19 years ago. Practices with Trustees of Columbia University in the City of New York, a 2,250-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
19
Licensed in
NJ, NY
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

177 Fort Washington Ave
New York, NY 10032-3733
Phone: (319) 353-6425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 707 E Main St, Middletown, NY 10940-2650 — (845) 333-7575

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 25MA12971100 (NJ)
Surgery Physician Taxonomy 208600000X · Licence 290942 (NY)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence 290942 (NY)

Record details

NPI number1396039368
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 7, 2011
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026

Medicare enrollment

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

Medicare specialtyCARDIAC SURGERY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Trustees Of Columbia University In The City Of New York — 2250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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