Organization Active NPI

Haro Podiatry Center PC

  • Podiatrist
  • Clifton, NJ
National Provider Identifier
1649426362
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00260400 Issued in NJ
Legal business name
HARO PODIATRY CENTER PC
Practice address
1005 Clifton Ave
Clifton, NJ 07013-3520
Phone
(973) 777-5771
Fax
(973) 777-8229
NPI assigned
Aug 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Dr. Ibrahim Haro, D.P.MNPI 1083708523
Title
President
Phone
(973) 777-5771

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 25MD00260400 NJ Primary

Addresses

Primary practice location

1005 Clifton Ave
Clifton, NJ 07013-3520

Mailing address

1005 Clifton Ave
Clifton, NJ 07013-3520
Phone (973) 777-5771

Other identifiers 9

IdentifierTypeStateIssuer
2116157000OtherAMERIHEALTH
2K8060OtherHEALTH NET
1156209OtherNJNJ HEALTH
010004607-02OtherNJAMERICHOICE
8641102MedicaidNJ
P2530146OtherOXFORD
P00110397OtherRAIL ROAD MEDICARE
9647690OtherGHI
0450694003OtherCIGNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041104000136 NJ Part B Supplier - Clinic/Group Practice 3678536364 Receives reassigned benefits from 1 practitioner
Practice locations: Clifton, NJ; Jersey City, NJ

National Provider Directory

National Provider Directory

Locations

1005 Clifton Ave
Ste 4
Clifton, NJ 07013
Phone (973) 777-5771

1005 Clifton Ave
Ste 104
Clifton, NJ 07013

Practitioners & affiliated clinicians

Practitioners 4

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": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1649426362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133520",
            "telephone_number": "973-777-5771",
            "fax_number": "973-777-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133520",
            "telephone_number": "973-777-5771",
            "fax_number": "973-777-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARO PODIATRY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "HARO",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-777-5771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00260400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2116157000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2K8060",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ HEALTH",
            "identifier": "1156209",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "010004607-02",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8641102",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2530146",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00110397",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9647690",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0450694003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.