Active NPI
Chad Lawrence Harris, DO
- Cardiovascular Disease Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 333148
- Practice address
- 108 Delancey St
New York, NY 10002-3202 - Phone
- (212) 677-2157
- Fax
- (212) 982-2792
- NPI assigned
- Mar 27, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | OS19608 | FL | |
| Cardiovascular Disease Physician | 207RC0000X | 333148 | NY | Primary |
| Hospitalist Physician | 208M00000X | OS19608 | FL |
Addresses
Primary practice location
108 Delancey St
New York, NY 10002-3202
Mailing address
108 Delancey St
New York, NY 10002-3202
Phone (212) 677-2157
Other practice location 1
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 312-3494
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129440000 | Medicaid | FL | |
| WM905 | Other | FL | HFMG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Lake Erie College of Osteopathic Medicine, Bradenton, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
104 Delancey St
New York, NY 10002-3202
Phone (212) 655-2157
1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 725-4500
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401
1810 Eldron Blvd SE
Palm Bay, FL 32909-6831
Phone (321) 434-1981
1855 Knox McRae Dr
Titusville, FL 32780-5492
Phone (321) 269-2028
699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562
7125 Murrell Rd
Viera, FL 32940-7999
Phone (321) 242-8790
730 Malabar Rd
Malabar, FL 32950-3140
Phone (321) 409-6800
8725 N Wickham Rd
Melbourne, FL 32940-2240
Hospital & facility affiliations
- Holmes Regional Medical Center
- Mount Sinai West
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
| Varicose vein removal | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS19608 | FL | MD | Cardiovascular Disease Physician |
| 333148 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Health First Medical Group, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| St Lukes Roosevelt Hospital Center | Past | Accepting new patients | |
| Bimc Faculty Practice | Past | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Cardiovascular Disease | Past | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
55 E 34th St
New York, NY 10016
Phone (212) 252-6131
104 Delancey St
New York, NY 10002
Phone (212) 533-5090
150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1568841930
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Cardiovascular Disease
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- Neurology Physician
- New York, NY
- NPI 1891848461
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
-
- Infectious Disease Physician
- New York, NY
- NPI 1659639524
Cardiovascular Disease
-
- General Acute Care Hospital
- New York, NY
- NPI 1104982917
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1104982917
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1629539259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 DELANCEY ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100023202",
"telephone_number": "212-677-2157",
"fax_number": "212-982-2792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 DELANCEY ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100023202",
"telephone_number": "212-677-2157",
"fax_number": "212-982-2792"
}
],
"practiceLocations": [
{
"address_1": "1350 Hickory St",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329013224",
"country_code": "US",
"telephone_number": "321-312-3494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "CHAD",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-27",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "OS19608",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "333148",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "OS19608",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129440000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HFMG",
"identifier": "WM905",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.