Harold Paez, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N005206 Issued in NY

Practice address

12610 Rockaway Beach Blvd
Belle Harbor, NY 11694-1739

Phone

(917) 579-3557

Fax

(917) 579-3557

NPI assigned

Mar 15, 2006

Last updated

Jan 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: paezh@lighthouseguild.direct.welligent.com

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

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• A Merryland Operating LLC

  dba A Merryland Health Center

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  NPD (past)
• Downtown Bronx Medical Associates PC

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• Lincon Medical and Mental Center

  • Critical Access Hospital
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  NPD (past)
• Mermaid Operating Co, LLC

  dba Mermaid Health Center

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1053379362

  Podiatrist

  NPD (past)
• New York Medical College Faculty Practice

  • Anesthesiology Physician
  • New York, NY
  • NPI 1699837237
  NPD (past)
• Nymhc FPP Nephrology

  • Nephrology Physician
  • New York, NY
  • NPI 1306878657
  NPD (past)
• R.G. Medical, PC

  • Physical Medicine & Rehabilitation Physician
  • Bronx, NY
  • NPI 1720007891
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1295704070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12610 ROCKAWAY BEACH BLVD",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941739",
            "telephone_number": "718-945-4995",
            "fax_number": "718-945-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12610 ROCKAWAY BEACH BLVD",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941739",
            "telephone_number": "917-579-3557",
            "fax_number": "917-579-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAEZ",
        "first_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01663432",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle L O'Sullivan
• Kristie Michelle Occhiogrosso
• Occupational and Speech Therapy Services of Rockaway P.C.
• Ocean Medical Care PC
• On My Mind Counseling LMHC PC
• Jamie Eve Petrone, MA
• Janet Elaine Pittman, MD
• Pleet Homecare
• Michelle Pruner
• Lauren Raphael Raphael McCallion

• Podiatrist in Belle Harbor, NY
• Providers in Belle Harbor, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.