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

Dr. Omar Farooq Mirza, DO

Individual provider Psychiatry Physician · NPI 1619235538

Dr. Omar Farooq Mirza, DO is a Psychiatry in Middletown, New York. Qualified in 2012, 14 years ago. Practices with Physician Affiliate Group of New York PC, a 1,224-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

707 E Main St
Middletown, NY 10940-2650
Phone: (845) 333-7575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 68 Harris Bushville Rd, Harris, NY 12742 — (845) 333-8909

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 283302 (NY)

Record details

NPI number1619235538
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 28, 2012
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address707 E Main St, Middletown, NY 10940-2650

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Physician Affiliate Group Of New York Pc — 1224 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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