Individual Healthcare Provider
Usman Mirza, MD, MBA
Provider's NPPES record last updated: April 26, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1912429895
- Primary Specialty
- Psychiatry & Neurology — Neurology
- Practice Location
- Port Jefferson Station, New York
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 10:46 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Psychiatry & Neurology
Neurology
Allopathic & Osteopathic Physicians
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Taxonomy code 2084N0400X Psychiatry & Neurology
Epilepsy
Allopathic & Osteopathic Physicians
Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.<br/>
Taxonomy code 2084E0001X
Provider-Reported License Information
- Psychiatry & Neurology (New York)
- 306390
- Psychiatry & Neurology (New York)
- 306390
Practice Locations
Practice Location
815 Hallock Ave Ste A
Port Jefferson Station, New York 11776-1244
Phone: (631) 828-3036
Additional Practice Location
1300 Roanoke Ave
Riverhead, New York 11901-2031
Phone: (631) 548-6000
Additional Practice Location
300 Community Dr Dept Of
Manhasset, New York 11030-3876
Phone: (516) 562-4300
Record Information
- Enumeration Date
- July 12, 2017
- Provider's NPPES Record Last Updated
- April 26, 2024
- Certification Date
- April 26, 2024
- NPISignal NPPES Dataset
- August 2026
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