Active NPI
Harold Carlson, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- East Setauket, NY
National Provider Identifier
1194750034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 163591
- Practice address
- 26 Research Way
East Setauket, NY 11733 - Phone
- (631) 444-0580
- Fax
- (631) 444-0562
- NPI assigned
- Jul 11, 2006
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 163591 | NY | Primary |
Addresses
Primary practice location
26 Research Way
East Setauket, NY 11733
Mailing address
P.O. Box 1559
Stony Brook, NY 11790
Phone (631) 444-0580
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00940616 | Medicaid | NY | |
| 4565728 | Other | NY | AETNA |
| 64D21 | Other | NY | EMPIRE BC.BS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | HAROLD.CARLSON@DIRECT.STONYBROOKMEDICINE.EDU |
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
Interoperability endpoints
- harold.carlson@direct.stonybrookmedicine.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651017600000",
"number": "1194750034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1559",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "11790",
"telephone_number": "631-444-0580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 RESEARCH WAY",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "11733",
"telephone_number": "631-444-0580",
"fax_number": "631-444-0562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "HAROLD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "163591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00940616",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4565728",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC.BS",
"identifier": "64D21",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "HAROLD.CARLSON@DIRECT.STONYBROOKMEDICINE.EDU",
"affiliation": "N",
"address_1": "26 RESEARCH WAY",
"city": "EAST SETAUKET",
"state": "NY",
"country_code": "US",
"postal_code": "11733",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.