Edward Michael Harris, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

481003 Issued in NY

Practice address

409 W 145TH St
503
New York, NY 10031-5200

Phone

(917) 374-1178

Fax

(212) 281-9715

NPI assigned

Mar 5, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Edward Michael Harris Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1790925550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W 145TH ST",
            "address_2": "503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100315200",
            "telephone_number": "917-374-1178",
            "fax_number": "212-281-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W 145TH ST",
            "address_2": "503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100315200",
            "telephone_number": "917-374-1178",
            "fax_number": "212-281-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "EDWARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-05",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "481003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWARD",
            "last_name": "HARRIS",
            "middle_name": "MICHAEL",
            "prefix": "MR.",
            "credential": "REGISTERED NURSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Delveta Harris
• Dena Ellen Harris, MD
• Derrick Harris Jr.
• Destiny Harris
• Dory C Harris, LMSW
• Emily Harris, OTR/L
• Erin Harris, MD
• Fredric Alan Harris
• Fredric David Harris, MD, FACS
• Fredrick Harris, PH.D., DDS

• Registered Nurse in New York, NY
• Providers in New York, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.