Active NPI
Philip Harris MD PC
- Physical Medicine & Rehabilitation Physician
- Bklyn, NY
National Provider Identifier
1407995301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- PHILIP HARRIS MD PC
- Practice address
- 1 Brookdale Plaza
Room 344
Bklyn, NY 11212 - Phone
- (718) 876-6220
- NPI assigned
- Feb 6, 2007
- Last updated
- Aug 22, 2020
- 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
- Philip Harris, MD
- Title
- Owner
- Phone
- (718) 876-6220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | NU | Primary |
Addresses
Primary practice location
1 Brookdale Plaza
Room 344
Bklyn, NY 11212
Mailing address
2031 Forest Ave
Staten Is, NY 10303
Phone (718) 876-6220
National Provider Directory
National Provider DirectoryLocations
97 New Dorp Ln
Staten Island, NY 10306
Phone (718) 667-6664
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Rheumatology Physician
- Brooklyn, NY
- NPI 1376615351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1407995301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2031 FOREST AVE",
"city": "STATEN IS",
"state": "NY",
"postal_code": "10303",
"telephone_number": "718-876-6220",
"fax_number": "718-876-5969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BROOKDALE PLAZA",
"address_2": "ROOM 344",
"city": "BKLYN",
"state": "NY",
"postal_code": "11212",
"telephone_number": "718-876-6220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILIP HARRIS MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "PHILIP",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-876-6220",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.