Active NPI
Sameera N Haroon, M,D
- Pediatrics Physician
- South Richmond Hill, NY
National Provider Identifier
1194937805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 241068
- Practice address
- 10414 113TH St
South Richmond Hill, NY 11419-2506 - Phone
- (718) 835-2254
- Fax
- (718) 303-0763
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 241068 | NY | Primary |
Addresses
Primary practice location
10414 113TH St
South Richmond Hill, NY 11419-2506
Mailing address
10414 113TH St
South Richmond Hill, NY 11419-2506
Phone (718) 835-2254
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02886139 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 241068 | NY | MD | Pediatrics Physician |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1194937805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10414 113TH ST",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114192506",
"telephone_number": "718-835-2254",
"fax_number": "718-303-0763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10414 113TH ST",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114192506",
"telephone_number": "718-835-2254",
"fax_number": "718-303-0763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAROON",
"first_name": "SAMEERA",
"middle_name": "N",
"credential": "M,D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "241068",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02886139",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.