Active NPI
Laurence D. Haber, M.D., P.C.
- Neurology Physician
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 169382-1
- Legal business name
- LAURENCE D. HABER, M.D., P.C.
- Practice address
- 1000 Northern Blvd Ste 110
Great Neck, NY 11021-5312 - Phone
- (516) 498-1122
- Fax
- (516) 466-6714
- NPI assigned
- Nov 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laurence D. Haber, MD
- Title
- Neurologist
- Phone
- (516) 498-1122
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 169382-1 | NY | Primary |
Addresses
Primary practice location
1000 Northern Blvd Ste 110
Great Neck, NY 11021-5312
Mailing address
1000 Northern Blvd Ste 110
Great Neck, NY 11021-5312
Phone (516) 498-1122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
1000 Northern Blvd
Ste 110
Great Neck, NY 11021
Phone (516) 482-0302
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Great Neck, NY
- NPI 1053319475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587945600000",
"number": "1336393685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 NORTHERN BLVD STE 110",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215312",
"telephone_number": "516-498-1122",
"fax_number": "516-466-6714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 NORTHERN BLVD STE 110",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215312",
"telephone_number": "516-498-1122",
"fax_number": "516-466-6714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURENCE D. HABER, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-13",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A",
"authorized_official_last_name": "HABER",
"authorized_official_first_name": "LAURENCE",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "NEUROLOGIST",
"authorized_official_telephone_number": "516-498-1122",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "169382-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.