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

Dr. Usman Mirza, MD, MBA

Individual provider Epilepsy Physician · NPI 1912429895

Dr. Usman Mirza, MD, MBA is a Neurology in Port Jefferson Station, New York. Qualified in 2017, 9 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MBA — Master of Business Administration
A graduate business degree.

See every abbreviation used in this directory →

Practice location Address checks out

815 Hallock Ave Ste A
Port Jefferson Station, NY 11776-1244
Phone: (631) 828-3036
Show map & directions

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

Additional practice locations (2)

  • 300 Community Dr Dept Of, Manhasset, NY 11030-3876 — (516) 562-4300
  • 1300 Roanoke Ave, Riverhead, NY 11901-2031 — (631) 548-6000

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 306390 (NY)
Epilepsy Physician Taxonomy 2084E0001X · Licence 306390 (NY)

Record details

NPI number1912429895
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MBA
Sole proprietorYes
NPI enumeratedJuly 12, 2017
Last updated in NPPESApril 26, 2024
Certification dateApril 26, 2024

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services