Active NPI
Robert Victor Haim, MD
- Pathology Specialist/Technologist
- Niagara Falls, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pathology Specialist/Technologist
- License
- 136176
- Practice address
- 621 10TH St
Niagara Falls, NY 14302 - Phone
- (716) 278-4337
- Fax
- (716) 362-9518
- NPI assigned
- Nov 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pathology Specialist/Technologist | 246Q00000X | 136176 | NY | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 1361762 | NY |
Addresses
Primary practice location
621 10TH St
Niagara Falls, NY 14302
Mailing address
908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 692-3302
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
621 10TH St
Niagara Falls, NY 14301-1813
Phone (716) 278-4000
Hospital & facility affiliations
- Niagara Falls Memorial Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1361762 | NY | MD | Anatomic Pathology & Clinical Pathology Physician |
| 136176 | NY | MD | Pathology Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Niagara Falls Memorial Medical Center | Current | Accepting new patients | |
| Niagara Falls Memorial Medical Center | Current | Accepting new patients |
Locations
501 10th St
Ste 102
Niagara Falls, NY 14301
Phone (716) 278-9619
620 10th St
Ste 704
Niagara Falls, NY 14301
Phone (716) 278-4402
621 10th St
North Falls, NY 14301
Phone (716) 278-4000
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Niagara Falls, NY
- NPI 1982659256
-
- Oncology Clinic/Center
- Niagara Falls, NY
- NPI 1144842816
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Niagara Falls, NY
- NPI 1285717298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197417600000",
"number": "1477534352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 NIAGARA FALLS BLVD",
"address_2": "STE 208",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "14120",
"telephone_number": "716-692-3302",
"fax_number": "716-362-9518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 10TH ST",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "14302",
"telephone_number": "716-278-4337",
"fax_number": "716-362-9518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIM",
"first_name": "ROBERT",
"middle_name": "VICTOR",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "246Q00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology",
"state": "NY",
"license": "136176",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "1361762",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.