Individual provider Active NPI

Steven Mark Harris, MD

  • Urology Physician
  • Long Beach, NY
National Provider Identifier
1861474918
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
131942 Issued in NY
Practice address
711 Lincoln Blvd
Long Beach, NY 11561-2315
Phone
(516) 431-9800
Fax
(516) 431-9853
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 131942 NY Primary

Addresses

Primary practice location

711 Lincoln Blvd
Long Beach, NY 11561-2315

Mailing address

4 Forester St
Long Beach, NY 11561-2415
Phone (516) 431-9800

Other identifiers 1

IdentifierTypeStateIssuer
00582343MedicaidNY

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
I20050726000725 NY Practitioner - Urology 8022045541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Albert Einstein College of Medicine of Yeshiva University, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 632-3935

Hospital & facility affiliations

  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
131942NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine CurrentSince Aug 5, 2021 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Urology CurrentSince Oct 6, 2021 Accepting new patients
Mount Sinai School of Medicine CurrentSince Aug 5, 2021 Accepting new patients
Mount Sinai School of Medicine Current Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Oct 6, 2021 Accepting new patients
Steven M. Harris, M.D. Urology PastSince Jan 1, 1990 Accepting new patients
Long Beach Vascular Gen Sur Past Accepting new patients

Locations

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

775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595

440 E Bay Dr
Long Beach, NY 11561
Phone (516) 632-4141

325 W Park Ave
Long Beach, NY 11561
Phone (516) 255-1600

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

Networks

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

Interoperability endpoints

  • Direct secure messaging: stevenharris@imppllc.allscriptsdirect.net

Organizations & group practices 7

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 1

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1861474918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FORESTER ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612415",
            "telephone_number": "516-431-9800",
            "fax_number": "516-431-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 LINCOLN BLVD",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612315",
            "telephone_number": "516-431-9800",
            "fax_number": "516-431-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "STEVEN",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "131942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00582343",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

Verify at the official NPI Registry.