Harlem Rheumatology LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

229836 Issued in NY

Legal business name

HARLEM RHEUMATOLOGY LLC

Practice address

301 W 118TH St
Apt PH-3F
New York, NY 10026-1049

Phone

(212) 360-5752

NPI assigned

Jan 5, 2012

Last updated

Mar 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Naaendorp, M.D.

Title

Owner

Phone

(212) 360-5752

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michael Naarendorp Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Naarendorp, M.D.

  • Rheumatology Physician
  • New York, NY
  • NPI 1740256908
  Medicare reassignment
• Naveen Kumar Pesala, M.D

  • Internal Medicine Physician
  • New York, NY
  • NPI 1346440823
  NPD (past)

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1548530702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SAINT NICHOLAS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100263467",
            "telephone_number": "212-360-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 118TH ST",
            "address_2": "APT PH-3F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261049",
            "telephone_number": "212-360-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLEM RHEUMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "NAAENDORP",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-360-5752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "229836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01921948",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Naarendorp",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Harlem Medical Associates PC
• Harlem Medical P.C.
• Harlem Pediatric Associates, PC
• Harlem Pharmacy Inc
• Harlem Physician Group
• Harlem RX Inc.
• Harlem RX Pharmacy Inc
• Harlem Specialty Drug Corp (I & S Pharmacy)
• Harlem Star Pharmacy Inc. (Harlem Community Pharmacy)
• Harlem Super Pharmacy Inc

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.