Active NPI
Harriet E McGurk, MD
- Pediatrics Physician
- Nyc, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 121259
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00671485 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050809001119 | NY | Practitioner - Pediatric Medicine | 3870522808 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Current | 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 | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Pediatrics | Current | 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
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- 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.
-
- Surgery Physician
- New York, NY
- NPI 1508266347
NY, Pediatrics
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
NY, Pediatrics
-
- Anesthesiology Physician
- New York, NY
- NPI 1477068971
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.