Active NPI
David Hart, M.D.
- Pediatric Hematology & Oncology Physician
- New York, NY
National Provider Identifier
1104814813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 125095
- Practice address
- 874 Broadway
Apt. 601
New York, NY 10003-1222 - Phone
- (917) 572-0138
- NPI assigned
- Oct 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | 125095 | NY | Primary |
Addresses
Primary practice location
874 Broadway
Apt. 601
New York, NY 10003-1222
Mailing address
874 Broadway
Apt. 601
New York, NY 10003-1222
Phone (917) 572-0138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00878620 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125095 | NY | MD | Pediatric Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325116800000",
"number": "1104814813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "874 BROADWAY",
"address_2": "APT. 601",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100031222",
"telephone_number": "917-572-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "874 BROADWAY",
"address_2": "APT. 601",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100031222",
"telephone_number": "917-572-0138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2011-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "NY",
"license": "125095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00878620",
"state": "NY"
}
],
"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 Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.