Active NPI
Stuart W. Haber, MD PC
- Infectious Disease Physician
- New York, NY
National Provider Identifier
1790837243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 178060
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01128255 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Infectious Disease Physician
- New York, NY
- NPI 1699805200
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.