Harvard Street Medical Associates, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HARVARD STREET MEDICAL ASSOCIATES, PC

Practice address

1553 Broadway
Hewlett, NY 11557-1427

Phone

(516) 374-8666

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Sharon Azmon

Title

Office Manger

Phone

(516) 374-1677

Specialties & licenses 1

Addresses

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: rmarkowitzmd@direct.practicefusion.com

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1154549368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571427",
            "telephone_number": "516-374-1677",
            "fax_number": "516-374-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571427",
            "telephone_number": "516-374-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVARD STREET MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "AZMON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "516-374-1677"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmarkowitzmd@direct.practicefusion.com",
            "affiliation": "N",
            "address_1": "1553 Broadway",
            "city": "Hewlett",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115571427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Internal Medicine Physician in Hewlett, NY
• Providers in Hewlett, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.