Individual provider Active NPI

Tara Noreen Harbeck, DPM

  • Podiatrist
  • Perth, NY
National Provider Identifier
1295744910
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005812 Issued in NY
Practice address
4104 State Highway 30
Perth, NY 12010-0000
Phone
(518) 883-8862
Fax
(518) 883-5653
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005812 NY Primary

Addresses

Primary practice location

4104 State Highway 30
Perth, NY 12010-0000

Mailing address

99 E State St
PO Box 1250
Gloversville, NY 12078-1203
Phone (518) 883-8620

Other identifiers 1

IdentifierTypeStateIssuer
02195935MedicaidNY

Other names 1

  • Dr. Tara Noreen Gorman Former name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060919000146 NY Practitioner - Podiatry 4587669924 Reassigns benefits to 1 organization
Practice locations: Amsterdam, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nathan Littauer Hospital AssociationGroup PAC ID 4183618101, 94 clinicians

Practice addresses (Care Compare)

99 E State St
Gloversville, NY 12078-1203
Phone (518) 773-5690

Hospital & facility affiliations

  • Nathan Littauer Hospital Hospital, Gloversville, NY, CCN 330276
  • St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue38
Removal of nail tissue752
Removal or shaving of skin growth321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005812NYMDMental Health Counselor
N005812NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nathan Littauer Hospital Association CurrentSince Sep 10, 2012 Accepting new patients
Nathan Littauer Hospital Association Current Accepting new patients
Nathan Littauer Hospital & Nursing Home CurrentSince Sep 10, 2012 Accepting new patients

Locations

4104 State Highway 30
Amsterdam, NY 12010
Phone (518) 883-8620

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

Interoperability endpoints

  • Direct secure messaging: tharbeck.nlh@hixny.net

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1295744910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E STATE ST",
            "address_2": "PO BOX 1250",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781203",
            "telephone_number": "518-883-8620",
            "fax_number": "518-883-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 STATE HIGHWAY 30",
            "city": "PERTH",
            "state": "NY",
            "postal_code": "120100000",
            "telephone_number": "518-883-8862",
            "fax_number": "518-883-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBECK",
        "first_name": "TARA",
        "middle_name": "NOREEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02195935",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "GORMAN",
            "middle_name": "NOREEN",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Perth, NY

Sources for this page

Verify at the official NPI Registry.