Individual provider Active NPI

Mark Harooni, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Brooklyn, NY
National Provider Identifier
1013014406
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
197285-1 Issued in NY
Practice address
109 4TH Ave
Brooklyn, NY 11217-2712
Phone
(718) 438-5600
Fax
(917) 386-2679
NPI assigned
Sep 20, 2006
Last updated
Sep 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 197285 NY
Retina Specialist (Ophthalmology) Physician 207WX0107X 197285-1 NY Primary

Addresses

Primary practice location

109 4TH Ave
Brooklyn, NY 11217-2712

Mailing address

109 4TH Ave
Brooklyn, NY 11217-2712
Phone (718) 438-5600

Other practice location 1

1530 Bedford Ave
Brooklyn, NY 11216-4117
Phone (718) 221-2020

Other practice location 2

719 Grand St
Brooklyn, NY 11211-4940
Phone (718) 388-5200

Other practice location 3

5205 Church Ave
Brooklyn, NY 11203-3513
Phone (718) 736-2323

Other identifiers 1

IdentifierTypeStateIssuer
1765333MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040622000503 NY Practitioner - Ophthalmology 9931012176 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians
Be Well Primary Health Care Center LLCGroup PAC ID 2062305030, 44 clinicians
Wyckoff Professional Medical Services PCGroup PAC ID 6406748607, 154 clinicians
Harooni and Sheindlin MD PCGroup PAC ID 3971568478, 8 clinicians

Practice addresses (Care Compare)

1 Brookdale PLZ
Brooklyn, NY 11212-3198

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

3007 Farragut Rd
Brooklyn, NY 11210-1537
Phone (718) 434-0711

374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7266

586 President St B
Brooklyn, NY 11215-1212
Phone (718) 438-5600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
197285NYMDOphthalmology Physician
197285-1NYMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Physician Services, PC Single Specialty CurrentSince Nov 28, 2016 Accepting new patients
Be Well Primary Health Care Center, LLC Single Specialty CurrentSince Apr 1, 2017 Accepting new patients
Kings Physician Services, PC Single Specialty CurrentSince Nov 28, 2016 Accepting new patients
1211 WPR Medical Services PC Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
Harvey Rosenblum, MD,PC Single Specialty CurrentSince Feb 17, 1994 Accepting new patients
Interfaith Professional Physician Services, P.C. Single Specialty CurrentSince Jul 12, 2024 Accepting new patients
Siuc Medical PC Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Dec 31, 2023 Accepting new patients
Wyckoff Professional Medical Services, PC Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
Goldstep Ambulatory Surgery Center, LLC Single Specialty CurrentSince Apr 1, 2017 Accepting new patients
Wyckoff Heights Medical Center Current Accepting new patients
Brookdale Hospital Medical Center Single Specialty CurrentSince Dec 31, 2023 Accepting new patients
Downstate Ophthalmology Associates, PC Single Specialty CurrentSince Jan 1, 2004 Accepting new patients
Harooni & Sheindlin MD PC Single Specialty CurrentSince Nov 12, 2004 Accepting new patients
Park Slope Physician Services PC Single Specialty Past Accepting new patients
Boro Audiology, Inc. Single Specialty PastSince Feb 14, 2020 Accepting new patients
Medalliance Medical Health Services Inc Single Specialty PastSince Nov 12, 2004 Accepting new patients
Boro Medical, P.C. Single Specialty Past Accepting new patients
Borotone, Inc. Single Specialty Past Accepting new patients
Ophthalmology Associates of Li, PC Single Specialty Past Accepting new patients

Locations

1211 White Plains Rd
Bronx, NY 10472
Phone (718) 409-1338

2425 Eastchester Rd
Bronx, NY 10469
Phone (718) 231-5100

326 E 149th St
Bronx, NY 10451
Phone (718) 402-6380

109 4th Ave
Brooklyn, NY 11217
Phone (718) 438-5600

11 Plaza St W
Brooklyn, NY 11217
Phone (718) 638-2020

1110 Eastern Pkwy
Pier Toussaint
Brooklyn, NY 11213
Phone (718) 735-1900

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1301 Avenue J
Brooklyn, NY 11230
Phone (718) 645-0600

1530 Bedford Ave
Brooklyn, NY 11216
Phone (718) 221-2020

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

1577 Fulton St
Brooklyn, NY 11213
Phone (347) 915-1411

1910 Nostrand Ave
Brooklyn, NY 11226
Phone (718) 284-4440

3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677

5205 Church Ave
Brooklyn, NY 11203
Phone (718) 342-2500

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

586 President St
Ste B
Brooklyn, NY 11215
Phone (718) 438-5600

719 Grand St
Brooklyn, NY 11211
Phone (718) 388-5200

7554 Metropolitan Ave
Middle Vlg, NY 11379
Phone (718) 326-0400

220 Madison Ave
New York, NY 10016
Phone (212) 683-7330

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: markharooni@whmc.allscriptsdirect.net
  • Direct secure messaging: markharoonimd@bewell.direct.eyemdemr.com
  • Direct secure messaging: mharooni68914@northwell.direct-ci.com

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1013014406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172712",
            "telephone_number": "718-438-5600",
            "fax_number": "917-386-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172712",
            "telephone_number": "718-438-5600",
            "fax_number": "917-386-2679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 Bedford Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112164117",
            "country_code": "US",
            "telephone_number": "718-221-2020",
            "fax_number": "917-386-2679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "719 Grand St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112114940",
            "country_code": "US",
            "telephone_number": "718-388-5200",
            "fax_number": "917-386-2679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5205 Church Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112033513",
            "country_code": "US",
            "telephone_number": "718-736-2323",
            "fax_number": "917-386-2679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAROONI",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "197285",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "197285-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1765333",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.