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

Justin Bruno Mirza, DO

Individual provider Orthopaedic Surgery Physician · NPI 1356648570

Justin Bruno Mirza, DO is an Orthopedic Surgery in Far Rockaway, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2009, 17 years ago. Practices with Justin Mirza DO PC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2011
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.

See every abbreviation used in this directory →

Practice location Address checks out

51-15 Beach Channel Drive Peninsula Hospital Ctr
Far Rockaway, NY 11691
Phone: (718) 734-3020
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 258198 (NY)

Record details

NPI number1356648570
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedFebruary 24, 2011
Last updated in NPPESFebruary 24, 2011

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Also practisesHAND SURGERY
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2009 (17 years in practice)
Group practice Justin Mirza Do Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount