Colin B Harris, MD

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

25MA09768100 Issued in NJ

Practice address

1680 Route 23 Ste 250
Wayne, NJ 07470-7520

Phone

(973) 633-1122

Fax

(973) 832-7550

NPI assigned

Nov 13, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Orthopedic Surgery

Education

New York Medical College, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedics Spine and Sports Medicine, LLCGroup PAC ID 0648318063, 4 clinicians

Total Orthopedics Spine and Sports Medicine NJ LLCGroup PAC ID 5890280259, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hudson Regional Hospital Hospital, Secaucus, NJ, CCN 310118

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles (7 of 11)

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: charris1334773@ahs.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orthopaedics Spine and Sports Medicine LLC

  • Orthopaedic Surgery of the Spine Physician
  • Bayonne, NJ
  • NPI 1154030328

  NJ, Orthopaedic Surgery of the Spine

  Medicare reassignment Care Compare group NPD
• Total Orthopedics Spine and Sports Medicine NJ LLC

  • Orthopaedic Surgery Physician
  • Bayonne, NJ
  • NPI 1851142467

  NJ, Orthopaedic Surgery of the Spine

  Medicare reassignment Care Compare group NPD
• Madison Medical and Sports Rehabilitation L.L.C

  • Sports Physician Chiropractor
  • Madison, NJ
  • NPI 1992730253

  NJ

  Medicare reassignment NPD
• Newark Beth Israel Medical Center Inc

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1033210323

  NJ

  Medicare reassignment NPD
• Orthopaedics Spine and Sports Medicine LLC

  • Orthopaedic Surgery Physician
  • Syosset, NY
  • NPI 1548490063

  NY

  Medicare reassignment NPD
• Newark Beth Israel Medical Center Inc

  • Psychiatric Hospital Unit
  • Newark, NJ
  • NPI 1043457955
  NPD
• Madison Medical and Sports Rehabilitation L.L.C

  • Rehabilitation Clinic/Center
  • Madison, NJ
  • NPI 1952240822
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Njmhmc, LLC

  • General Acute Care Hospital
  • Secaucus, NJ
  • NPI 1710491253

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1194979435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 ROUTE 23 STE 250",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707520",
            "telephone_number": "973-633-1122",
            "fax_number": "973-832-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 ROUTE 23 STE 250",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707520",
            "telephone_number": "973-633-1122",
            "fax_number": "973-832-7550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Bergen St",
            "address_2": "ACC D1610",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071032425",
            "country_code": "US",
            "telephone_number": "973-972-5929",
            "fax_number": "973-972-3897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "COLIN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-13",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NY",
            "license": "256659",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NJ",
            "license": "25MA09768100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03231578",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Hanna, OTR/L
• Janet Hansen, PT
• Jayce-Tyler Harmon
• Harmony Family Counseling
• Bethany S Harris, PA
• Rachel Anne Hartwick, PA-C
• James B Harvey, PT
• Bassam Emile Hashem, M.D
• Steven Hauck, LAC
• Connor A Hayden

• Orthopaedic Surgery of the Spine Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Orthopaedic Surgery of the Spine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.