NPIMap

Organization Active NPI

Harbor View Medical Services PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Port Jefferson, NY
National Provider Identifier
1588070403
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
HARBOR VIEW MEDICAL SERVICES PC
Practice address
125 Oakland Ave Ste 203
Port Jefferson, NY 11777-2130
Phone
(631) 686-2552
NPI assigned
Jul 11, 2014
Organization subpart
Yes
Parent organization
HARBOR VIEW MEDICAL SERVICES, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Dr. Joan Faro, MD
Title
President
Phone
(631) 473-1320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

125 Oakland Ave Ste 203
Port Jefferson, NY 11777-2130

Mailing address

75 N Country Rd
Suite 100
Port Jefferson, NY 11777-2119

Other practice location 1

75 N Country Rd
Suite 100
Port Jefferson, NY 11777-2119
Phone (631) 686-7890

Other names 1

  • Endocrinogy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090617000230 NY Part B Supplier - Clinic/Group Practice 5092865873 Receives reassigned benefits from 74 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Stony Brook, NY; South Setauket, NY; Rocky Point, NY; Riverhead, NY; Port Jefferson Station, NY; Port Jefferson, NY; Bay Shore, NY; Brightwaters, NY…
O20191120002936 NY MDPP Supplier - in-Person MDPP Supplier 5092865873 Practice locations: Port Jefferson, NY; Stony Brook, NY

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Harbor View Medical SRV PC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

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": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1588070403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 N COUNTRY RD",
            "address_2": "SUITE 100",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 OAKLAND AVE STE 203",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772130",
            "telephone_number": "631-686-2552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 N Country Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson",
            "state": "NY",
            "postal_code": "117772119",
            "country_code": "US",
            "telephone_number": "631-686-7890",
            "fax_number": "631-686-7972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HARBOR VIEW MEDICAL SERVICES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARBOR VIEW MEDICAL SERVICES, PC",
        "enumeration_date": "2014-07-11",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "FARO",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-473-1320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endocrinogy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Jefferson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.