Active NPI
Laurence D. Haber, M.D.,P.C.
- Neurology Physician
- Great Neck, NY
National Provider Identifier
1386823565
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
- Oct 24, 2007
- 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
- Hilary Haber
- Title
- Office Manager
- Phone
- (516) 498-1122
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 DirectoryPractitioners & 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": "1193184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587945600000",
"number": "1386823565",
"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": "2007-10-24",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A",
"authorized_official_last_name": "HABER",
"authorized_official_first_name": "HILARY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "516-498-1122"
},
"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.