Individual provider Active NPI

Harriet E McGurk, MD

  • Pediatrics Physician
  • Nyc, NY
National Provider Identifier
1295713634
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
121259 Issued in NY
Practice address
630 W 168TH St
CH 517 Childrens Hosp of Ny Dept Pediatrics
Nyc, NY 10032
Phone
(212) 342-3060
Fax
(212) 342-6010
NPI assigned
Jan 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 121259 NY Primary

Addresses

Primary practice location

630 W 168TH St
CH 517 Childrens Hosp of Ny Dept Pediatrics
Nyc, NY 10032

Mailing address

630 W 168TH St
CH 517 Childrens Hospital of Ny Dept Pediatrics
New York, NY 10032
Phone (212) 342-3060

Other identifiers 1

IdentifierTypeStateIssuer
00671485MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050809001119 NY Practitioner - Pediatric MedicinePractitioner - Family Practice 3870522808 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York CurrentSince Jun 1, 2018 Accepting new patients
Trustees of Columbia University in the City of New York Pediatrics Current Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jun 20, 2011 Accepting new patients
Trustees of Columbia University in the City of New York Pediatrics CurrentSince Jun 20, 2011 Accepting new patients
The New York and Presbyterian Hospital Pediatrics Past Accepting new patients

Locations

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
Ph 1624
New York, NY 10032
Phone (212) 305-4098

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

3959 Broadway
New York, NY 10032
Phone (212) 304-7297

630 W 168th St
#517
New York, NY 10032
Phone (212) 305-8504

2026 Richmond Rd
Staten Island, NY 10306
Phone (212) 305-2300

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1295713634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST",
            "address_2": "CH 517 CHILDRENS HOSPITAL OF NY DEPT PEDIATRICS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-342-3060",
            "fax_number": "212-342-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST",
            "address_2": "CH 517 CHILDRENS HOSP OF NY DEPT PEDIATRICS",
            "city": "NYC",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-342-3060",
            "fax_number": "212-342-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGURK",
        "first_name": "HARRIET",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "121259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00671485",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyc, NY

Sources for this page

Verify at the official NPI Registry.