Organization Active NPI

Stuart W. Haber, MD PC

  • Infectious Disease Physician
  • New York, NY
National Provider Identifier
1790837243
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
178060 Issued in NY
Legal business name
STUART W. HABER, MD PC
Practice address
12A Sheridan SQ
New York, NY 10014-6824
Phone
(212) 929-2370
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Dr. Stuart W Haber, M.D.
Title
President
Phone
(212) 929-2370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 178060 NY Primary

Addresses

Primary practice location

12A Sheridan SQ
New York, NY 10014-6824

Mailing address

12A Sheridan SQ
New York, NY 10014-6824
Phone (212) 929-2370

Other identifiers 1

IdentifierTypeStateIssuer
01128255MedicaidNY

National Provider Directory

National Provider Directory

Locations

12A Sheridan Sq
New York, NY 10014
Phone (212) 929-2370

Practitioners & affiliated clinicians

Practitioners 1

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1790837243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12A SHERIDAN SQ",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100146824",
            "telephone_number": "212-929-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12A SHERIDAN SQ",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100146824",
            "telephone_number": "212-929-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART W. HABER, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-929-2370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "178060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01128255",
            "state": "NY"
        }
    ],
    "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 Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.