Organization Active NPI

Haben Practice for Voice & Laryngeal Laser Surgery PLLC

  • Specialist
  • Rochester, NY
National Provider Identifier
1174755169
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
230501 Issued in NY
Legal business name
HABEN PRACTICE FOR VOICE & LARYNGEAL LASER SURGERY PLLC
Practice address
980 Westfall Rd
Suite 1-127
Rochester, NY 14618-2605
Phone
(585) 727-5436
Fax
(999) 999-9999
NPI assigned
Aug 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Michael C Haben, MD, MSCNPI 1770515678
Title
Owner
Phone
(585) 727-5436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 230501 NY Primary

Addresses

Primary practice location

980 Westfall Rd
Suite 1-127
Rochester, NY 14618-2605

Mailing address

980 Westfall Rd
Suite 1-127
Rochester, NY 14618-2605
Phone (585) 727-5436

Other identifiers 2

IdentifierTypeStateIssuer
230501OtherNYLICENSE
02553175MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090910000087 NY Part B Supplier - Clinic/Group Practice 8527113877 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Locations

980 Westfall Rd
Ste 1127
Rochester, NY 14618
Phone (585) 727-5436

980 Westfall Rd
Ste 127
Rochester, NY 14618
Phone (585) 442-1110

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1174755169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 WESTFALL RD",
            "address_2": "SUITE 1-127",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182605",
            "telephone_number": "585-727-5436",
            "fax_number": "999-999-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 WESTFALL RD",
            "address_2": "SUITE 1-127",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182605",
            "telephone_number": "585-727-5436",
            "fax_number": "999-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABEN PRACTICE FOR VOICE & LARYNGEAL LASER SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HABEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-727-5436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MSC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "230501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "230501",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02553175",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.