Charles L Harewood, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

133874 Issued in NY

Practice address

6802 Ridge Blvd
Brooklyn, NY 11220-5829

Phone

(718) 836-0400

Fax

(718) 680-0366

NPI assigned

Nov 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

State University of New York Downstate Medical Center, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Hospital of Brooklyn Suny Downstate Health Sciences Univers 91 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Suny/Downstate University Hospital of Brooklyn Hospital, Brooklyn, NY, CCN 330350

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charlesharewood@sunydmc.allscriptsdirect.net

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.

• University Hospital of Brooklyn Suny Downstate Health Sciences Univers

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1396318986

  Family Medicine, NY

  Medicare reassignment Care Compare group NPD
• University Hospital of Brooklyn Suny Downstate Health Sciences Univers

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brooklyn, NY
  • NPI 1528027414
  Care Compare group NPD
• University Hospital of Brooklyn Suny Downstate Health Sciences Univers

  • Rehabilitation Hospital Unit
  • Brooklyn, NY
  • NPI 1285693275
  Care Compare group
• University Hospital of Brooklyn Suny Downstate Health Sciences Univers

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1639179328
  Care Compare group
• University Hospital of Brooklyn Suny Downstate Health Sciences Univers

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1740853340
  Care Compare group

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

• University Hospital of Brooklyn Suny Downstate Health Sciences Univers

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1639179328

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1477535805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 RIDGE BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205829",
            "telephone_number": "718-836-0400",
            "fax_number": "718-680-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 RIDGE BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205829",
            "telephone_number": "718-836-0400",
            "fax_number": "718-680-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAREWOOD",
        "first_name": "CHARLES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "133874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00399880",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Margaret Hare, LCSW
• Mitchell Hare, MD
• Hareem Pharmacy Inc
• Malka Harel, OTR/L
• Sharmila Harendra, M.D
• Sharice Harewood, OTR/L
• Shavonna Harewood, RN
• Deja Harford, LMHC
• Shentell Harford
• Melodi Harfouche, DO

• All providers in Brooklyn, NY
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.

Verify at the official NPI Registry.