Active NPI
Haven Family Medicine, P.C.
- Family Medicine Physician
- New York, NY
National Provider Identifier
1003503392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HAVEN FAMILY MEDICINE, P.C.
- Practice address
- 707 W 171St St Ste W
New York, NY 10032-2811 - Phone
- (212) 927-3232
- Fax
- (212) 927-4571
- NPI assigned
- Apr 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roberto Moran, MD
- Title
- Owner
- Phone
- (718) 902-2244
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
707 W 171St St Ste W
New York, NY 10032-2811
Mailing address
707 W 171St St Ste W
New York, NY 10032-2811
Phone (212) 927-3232
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Psychiatry Physician
- New York, NY
- NPI 1497781371
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- New York, NY
- NPI 1396760757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744156800000",
"number": "1003503392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 W 171ST ST STE W",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100322811",
"telephone_number": "212-927-3232",
"fax_number": "212-927-4571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 W 171ST ST STE W",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100322811",
"telephone_number": "212-927-3232",
"fax_number": "212-927-4571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAVEN FAMILY MEDICINE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-18",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A",
"authorized_official_last_name": "MORAN",
"authorized_official_first_name": "ROBERTO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-902-2244",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.