Active NPI
Patricia L Haber, MD
- Pediatrics Physician
- Hartsdale, NY
National Provider Identifier
1508941964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 184526
- Practice address
- 64 Old Colony Rd
Hartsdale, NY 10530-3618 - Phone
- (718) 881-0100
- Fax
- (718) 881-7752
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 184526 | NY | Primary |
Addresses
Primary practice location
64 Old Colony Rd
Hartsdale, NY 10530-3618
Mailing address
64 Old Colony Rd
Hartsdale, NY 10530-3618
Phone (718) 881-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01228431 | Medicaid | NY |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 184526 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Pediatrics | Past | Accepting new patients |
| Montefiore Medical Center | Pediatrics | 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": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265328000000",
"number": "1508941964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 OLD COLONY RD",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105303618",
"telephone_number": "718-881-0100",
"fax_number": "718-881-7752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 OLD COLONY RD",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105303618",
"telephone_number": "718-881-0100",
"fax_number": "718-881-7752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABER",
"first_name": "PATRICIA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2010-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "184526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01228431",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hartsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.