Individual provider Active NPI

Sarah F Harris, MED. MA

  • Specialist
  • Bronx, NY
National Provider Identifier
1063853273
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
646344121 Issued in NY
Practice address
1675 Grand Concourse
Apt 2F
Bronx, NY 10452-5816
Phone
(336) 380-0652
NPI assigned
Jul 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 633649121 NY
Specialist 174400000X 646344121 NY Primary

Addresses

Primary practice location

1675 Grand Concourse
Apt 2F
Bronx, NY 10452-5816

Mailing address

1675 Grand Concourse
Apt 2F
Bronx, NY 10452-5816
Phone (336) 380-0652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
633649121NYMDSpecialist
646344121NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1063853273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 GRAND CONCOURSE",
            "address_2": "APT 2F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104525816",
            "telephone_number": "336-380-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 GRAND CONCOURSE",
            "address_2": "APT 2F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104525816",
            "telephone_number": "336-380-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SARAH",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "MED. MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "633649121",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "646344121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.