Active NPI
Harold Flockhart, NP
- Adult Health Nurse Practitioner
- East Setauket, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 303563-1
- Practice address
- 12 Campus Dr
East Setauket, NY 11733-1149 - Phone
- (631) 689-0646
- NPI assigned
- Jul 19, 2006
- Last updated
- Nov 6, 2020
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 303563-1 | NY | Primary |
Addresses
Primary practice location
12 Campus Dr
East Setauket, NY 11733-1149
Mailing address
12 Campus Dr
East Setauket, NY 11733-1149
Phone (631) 689-0646
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- State University of New York at Stony Brook, School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
48 Route 25a
Smithtown, NY 11787-1431
Phone (631) 751-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303563-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Hematology Oncology Associates PC | Current | Accepting new patients | |
| Harold Flockhart Adult Health NP PC | Adult Health | Past | Accepting new patients |
Locations
41 Bay Ave
East Moriches, NY 11940
Phone (631) 727-4171
3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376
1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3538
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- harold.flockhart@sbcm.cernerdirect.com
- https://fhir4.healow.com/fhir/r4/CIFJDD/Endpoint/CIFJDD
Organizations & group practices 2
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.
-
- Specialist
- Port Jefferson Station, NY
- NPI 1396794574
-
dba balanced telemedicine
- Adult Health Nurse Practitioner
- East Setauket, NY
- NPI 1982205894
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Catholic Health Home Care
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
-
dba Stony Brook Southampton Hospital
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1093734139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CAMPUS DR",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117331149",
"telephone_number": "631-689-0646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CAMPUS DR",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117331149",
"telephone_number": "631-689-0646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOCKHART",
"first_name": "HAROLD",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "303563-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.