Organization Active NPI

Dr Andrew M Hararah DO PC Medical C

  • Family Medicine Physician
  • Amityville, NY
National Provider Identifier
1194917443
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DR ANDREW M HARARAH DO PC MEDICAL C
Practice address
357 Broadway
Amityville, NY 11701-2748
Phone
(631) 789-7900
Fax
(631) 608-8492
NPI assigned
Aug 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
John Pfeil, MA
Title
Office Manager
Phone
(631) 789-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

357 Broadway
Amityville, NY 11701-2748

Mailing address

357 Broadway
Amityville, NY 11701-2748
Phone (631) 789-7900

National Provider Directory

National Provider Directory

Locations

357 Broadway
Amityville, NY 11701
Phone (631) 789-4447

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1194917443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012748",
            "telephone_number": "631-789-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012748",
            "telephone_number": "631-789-7900",
            "fax_number": "631-608-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ANDREW M HARARAH DO PC MEDICAL C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "PFEIL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-789-7900",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.