NPIMap

Individual provider Active NPI

Harnath Balendra Clerk, MD

  • Internal Medicine Physician
  • Newfane, NY
National Provider Identifier
1407801798
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
185242 Issued in NY
Practice address
2610 William St
Newfane, NY 14108
Phone
(716) 778-7237
Fax
(716) 778-6074
NPI assigned
May 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 185242 NY Primary

Addresses

Primary practice location

2610 William St
Newfane, NY 14108

Mailing address

2610 William St
Newfane, NY 14108
Phone (716) 778-7237

Other identifiers 1

IdentifierTypeStateIssuer
01461545MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080917000422 NY Practitioner - Internal Medicine 2365519394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2610 William St
Newfane, NY 14108-1026
Phone (716) 778-7237

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harnath Clerk MD PC Internal Medicine CurrentSince Jan 1, 2001 Accepting new patients
Recovery Center of Niagara LLC Past Accepting new patients
Niagara Lutheran Development, Inc. Past Accepting new patients
Absolut Center for Nursing and Rehabilitation at Gasport, LLC Past Accepting new patients
Newfane Operations, LLC Past Accepting new patients
104 Old Niagara Road Operating Company, LLC Past Accepting new patients

Locations

2610 William St
Newfane, NY 14108
Phone (716) 778-7237

Interoperability endpoints

  • Direct secure messaging: hclerk@harnathclerkmdpc.medentdirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407801798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 WILLIAM ST",
            "city": "NEWFANE",
            "state": "NY",
            "postal_code": "14108",
            "telephone_number": "716-778-7237",
            "fax_number": "716-778-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 WILLIAM ST",
            "city": "NEWFANE",
            "state": "NY",
            "postal_code": "14108",
            "telephone_number": "716-778-7237",
            "fax_number": "716-778-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLERK",
        "first_name": "HARNATH",
        "middle_name": "BALENDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "185242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01461545",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newfane, NY

Sources for this page

Verify at the official NPI Registry.