Individual provider Active NPI

Joshua Harris, M.D.

  • Hematology & Oncology Physician
  • Port Jefferson Station, NY
National Provider Identifier
1649531815
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
284654-1 Issued in NY
Practice address
49 Nesconset Hwy
Port Jefferson Station, NY 11776-2628
Phone
(631) 751-0000
Fax
(631) 509-6559
NPI assigned
Jun 5, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 284654-1 NY Primary

Addresses

Primary practice location

49 Nesconset Hwy
Port Jefferson Station, NY 11776-2628

Mailing address

1500 Route 112 Ste 101
Port Jefferson Station, NY 11776-8054
Phone (631) 751-3000

Other identifiers 1

IdentifierTypeStateIssuer
04687147MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170406001970 NY Practitioner - HospitalistPractitioner - Internal Medicine 6901182971 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians

Practice addresses (Care Compare)

1 Delaware Dr
Suite 101
New Hyde Park, NY 11042-1116
Phone (631) 751-3000

1500 Route 112
Port Jefferson Station, NY 11776-8054
Phone (631) 751-3000

365 E Main St
Patchogue, NY 11772-3145
Phone (631) 751-3000

48 Route 25a
Smithtown, NY 11787-1431
Phone (631) 751-3000

Hospital & facility affiliations

  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • NS/Lij HS Huntington Hospital Hospital, Huntington, NY, CCN 330045
  • NS/Lij HS Southside Hospital Hospital, Bay Shore, NY, CCN 330043
  • Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141
  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
284654-1NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St John'S Medical Services PC CurrentSince Mar 7, 2022 Accepting new patients
Huntington Hospital Association CurrentSince Mar 15, 2017 Accepting new patients
Huntington Hospital Association CurrentSince Mar 15, 2017 Accepting new patients
North Shore-Lij Medical PC CurrentSince Feb 1, 2020 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Dec 1, 2017 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Jul 1, 2018 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Jul 1, 2018 Accepting new patients
Huntington Hospital Association Current Accepting new patients
North Shore Hematology Oncology Associates PC Hematology & Oncology Past Accepting new patients

Locations

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

270 Park Ave
Fl 1
Huntington, NY 11743
Phone (631) 351-2219

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

275 Rockaway Tpke
Lawrence, NY 11559
Phone (516) 371-2225

1 Delaware Dr
New Hyde Park, NY 11042
Phone (516) 336-5255

300 Community Dr
Plandome, NY 11030

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

1500 Route 112
Ste 101
Port Jefferson Station, NY 11776

49 Route 347
Port Jefferson Station, NY 11776
Phone (631) 751-0000

50 N Park Ave
Rockville Centre, NY 11570

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

235 N Belle Mead Rd
Setauket, NY 11733
Phone (631) 450-1200

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1649531815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ROUTE 112 STE 101",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117768054",
            "telephone_number": "631-751-3000",
            "fax_number": "631-509-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 NESCONSET HWY",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762628",
            "telephone_number": "631-751-0000",
            "fax_number": "631-509-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JOSHUA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "284654-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04687147",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

Verify at the official NPI Registry.