New York General Surgery, PLLC

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

132817 Issued in NY

Legal business name

NEW YORK GENERAL SURGERY, PLLC

Practice address

1160 5TH Ave Ofc 105
New York, NY 10029-6932

Phone

(212) 861-2217

Fax

(212) 861-1801

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Fredric David Harris, M.D.NPI 1144300948

Title

Owner

Phone

(212) 861-2217

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fredric David Harris, MD, FACS

  • Surgical Oncology Physician
  • New York, NY
  • NPI 1144300948
  Medicare reassignment NPD Authorized official
• Michael H. Tarlowe, M.D.

  • Colon & Rectal Surgery Physician
  • Deerfield Beach, FL
  • NPI 1275646838
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114146172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 5TH AVE OFC 105",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296932",
            "telephone_number": "212-861-2217",
            "fax_number": "212-861-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 5TH AVE OFC 105",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296932",
            "telephone_number": "212-861-2217",
            "fax_number": "212-861-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK GENERAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "FREDRIC",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-861-2217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "NY",
            "license": "132817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New York Foundling Hospital
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• New York Gastroenterology and Hepatology PC
• New York Gastroenterology Associates LLP
• New York General Medical Services PC
• New York Gi Associates,PC
• New York Gracie Square Hospital Inc
• New York Gynecological &Obstetrical Associates
• New York Harbor Health Care System
• New York Harbor Healthcare System

• Surgical Oncology Physician in New York, NY
• Providers in New York, NY by specialty
• Surgical Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.