Individual provider Active NPI

Harvey L. Halem, O.D.

  • Optometrist
  • Bronx, NY
National Provider Identifier
1487798864
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV002781-1 Issued in NY
Practice address
399 E 149TH St
Bronx, NY 10455-3902
Phone
(718) 292-9500
Fax
(718) 292-9538
NPI assigned
Feb 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV002781-1 NY Primary
Optometrist 152W00000X 278400 NJ

Addresses

Primary practice location

399 E 149TH St
Bronx, NY 10455-3902

Mailing address

399 E 149TH St
Bronx, NY 10455-3902
Phone (718) 292-9500

Other identifiers 1

IdentifierTypeStateIssuer
00333606MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
278400NJMDOptometrist
TUV002781-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
149TH Street Optical Co Inc Past Accepting new patients
Hub Optical,Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1487798864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104553902",
            "telephone_number": "718-292-9500",
            "fax_number": "718-292-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104553902",
            "telephone_number": "718-292-9500",
            "fax_number": "718-292-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEM",
        "first_name": "HARVEY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-17",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV002781-1",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "278400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00333606",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.