Organization Active NPI

Hars Medical Professional LLC

  • Internal Medicine Physician
  • West Haven, CT
National Provider Identifier
1568190379
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HARS MEDICAL PROFESSIONAL LLC
Practice address
748 Savin Ave
1St Floor
West Haven, CT 06516
Phone
(203) 800-4560
NPI assigned
Aug 10, 2022
Last updated
Aug 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

Name
Nabeel QureshiNPI 1124680269
Title
Owne/Authorized Official
Phone
(203) 800-4560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

748 Savin Ave
1St Floor
West Haven, CT 06516

Mailing address

748 Savin Ave
1St Floor
West Haven, CT 06516
Phone (203) 800-4560

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL harsmedicalprofessional@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221228002482 CT Part B Supplier - Clinic/Group Practice 6507236965 Receives reassigned benefits from 1 practitioner
Practice locations: West Haven, CT

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
07D2266768Hars Medical Professional LLC748 Savin Ave, 1St Floor, West Haven, CT 06516Certificate of waiverAug 15, 2026

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1568190379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 SAVIN AVE",
            "address_2": "1ST FLOOR",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "06516",
            "telephone_number": "203-800-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 SAVIN AVE",
            "address_2": "1ST FLOOR",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "06516",
            "telephone_number": "203-800-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARS MEDICAL PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "NABEEL",
        "authorized_official_title_or_position": "OWNE/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "203-800-4560"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "harsmedicalprofessional@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "748 Savin Ave",
            "address_2": "1st Floor",
            "city": "West Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.