Mark Jay Harris, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

040305-1 Issued in NY

Practice address

392 Deer Park Ave
Babylon, NY 11702-2314

Phone

(631) 669-1077

Fax

(631) 669-1136

NPI assigned

Aug 4, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811905607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022314",
            "telephone_number": "631-669-1077",
            "fax_number": "631-669-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022314",
            "telephone_number": "631-669-1077",
            "fax_number": "631-669-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MARK",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "040305-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel L Gurrieri, PA-C
• Hand Rehabilitation of Suffolk
• Joan Rita Margaret Hanwright, PH.D
• Mahjabeen Haq, D.O.
• Isaac Hardoon, D.O
• Kayla Courtney Harrison
• Christine Ann Hedley, REGISTERED NURSE
• Patricia Ann Hegarty, LPN
• Helaine Larsen D.O., P.C.
• Diane Heller, MS, BCBA

• Dentist in Babylon, NY
• Providers in Babylon, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.