Organization Active NPI

Harley Street Medical New Jersey PC

  • Internal Medicine Physician
  • Ho Ho Kus, NJ
National Provider Identifier
1497627087
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HARLEY STREET MEDICAL NEW JERSEY PC
Practice address
619 N Maple Ave Ste 100
Ho Ho Kus, NJ 07423-1683
Phone
(551) 284-3844
NPI assigned
Sep 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Mr. Danny Ball
Title
Ceo
Phone
(212) 496-1929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

619 N Maple Ave Ste 100
Ho Ho Kus, NJ 07423-1683

Mailing address

619 N Maple Ave Ste 100
Ho Ho Kus, NJ 07423-1683

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2333144Harley Street Medical New Jersey , PC619 N Maple Avenue, Ho Ho Kus, NJ 07423Certificate of waiverOct 29, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1497627087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 N MAPLE AVE STE 100",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 N MAPLE AVE STE 100",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231683",
            "telephone_number": "551-284-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLEY STREET MEDICAL NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-496-1929",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ho Ho Kus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.