Individual provider Active NPI

Cory Harris, M.D.

  • Urology Physician
  • New York, NY
National Provider Identifier
1629232244
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
270568 Issued in NY
Practice address
506 Lenox Ave
Dept of Surgery
New York, NY 10037-1802
Phone
(212) 939-8180
NPI assigned
Jul 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 270568 NY Primary
Urology Physician 208800000X 272704 MA

Addresses

Primary practice location

506 Lenox Ave
Dept of Surgery
New York, NY 10037-1802

Mailing address

3640 Main St
Ste 103
Springfield, MA 01107-1139
Phone (413) 785-5321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130920000464 NY Practitioner - Urology 3870737430 Reassigns benefits to 1 organization
I20180525000320 MA Practitioner - Urology 3870737430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Meharry Medical College School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Group of Western New England, P.C.Group PAC ID 9436120847, 12 clinicians

Practice addresses (Care Compare)

3640 Main St
Suite 103
Springfield, MA 01107-1139
Phone (413) 785-5321

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Group of Western New England, P.C. Urology CurrentSince May 1, 2018 Accepting new patients
Harlem Medical Associates PC CurrentSince Jul 29, 2013 Accepting new patients

Locations

151 Hazard Ave
Ste 9
Enfield, CT 06082
Phone (413) 785-5321

61 Locust St
Northampton, MA 01060
Phone (413) 584-2303

61 Locust St
Ste 1
Northampton, MA 01060
Phone (413) 584-2303

3640 Main St
Ste 103
Springfield, MA 01107
Phone (413) 785-5321

115 W Silver St
Westfield, MA 01085
Phone (413) 562-3444

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

45 Research Way
Ste 206
Setauket, NY 11733
Phone (631) 575-9300

Interoperability endpoints

  • Direct secure messaging: charris2388487@direct.trinity-health.org
  • Direct secure messaging: charris219779@direct.rochesterregional.org
  • Direct secure messaging: coryharris@ugwne.medalliesdirect.net

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1629232244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST",
            "address_2": "STE 103",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071139",
            "telephone_number": "413-785-5321",
            "fax_number": "413-731-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 LENOX AVE",
            "address_2": "DEPT OF SURGERY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371802",
            "telephone_number": "212-939-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-13",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "270568",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "272704",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.