Active NPI
Bernard Haimowitz, M.D.
- Specialist
- Newark, DE
National Provider Identifier
1043382443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C1-0003670
- Practice address
- 4745 Ogletown Stanton Rd
Newark, DE 19713-2067 - Phone
- (302) 738-5300
- Fax
- (302) 731-4822
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C1-0003670 | DE | Primary |
Addresses
Primary practice location
4745 Ogletown Stanton Rd
Newark, DE 19713-2067
Mailing address
4745 Ogletown Stanton Rd
Newark, DE 19713-2067
Phone (302) 738-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110516000836 | DE | Order and Referring Only - Gastroenterology | 0941104947 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0003670 | DE | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043382443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4745 OGLETOWN STANTON RD",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132067",
"telephone_number": "302-738-5300",
"fax_number": "302-731-4822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4745 OGLETOWN STANTON RD",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132067",
"telephone_number": "302-738-5300",
"fax_number": "302-731-4822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIMOWITZ",
"first_name": "BERNARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "DE",
"license": "C1-0003670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.