NPIMap

Organization Active NPI

Harbor View Medical Services PC

  • Pulmonary Disease Physician
  • Port Jefferson, NY
National Provider Identifier
1861636219
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
188779 Issued in NY
Legal business name
HARBOR VIEW MEDICAL SERVICES PC
Practice address
70 N Country Rd
Suite 101
Port Jefferson, NY 11777-2161
Phone
(631) 686-7890
Fax
(631) 473-0228
NPI assigned
Apr 29, 2009
Last updated
Mar 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Joan Faro, MD
Title
President
Phone
(631) 476-2874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 188779 NY Primary

Addresses

Primary practice location

70 N Country Rd
Suite 101
Port Jefferson, NY 11777-2161

Mailing address

70 N Country Rd
Suite 101
Port Jefferson, NY 11777-2161
Phone (631) 473-0037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090617000230 NY Part B Supplier - Clinic/Group Practice 5092865873 Receives reassigned benefits from 74 practitioners
9 other NPIs on this enrollment
Practice locations: Stony Brook, NY; South Setauket, NY; Rocky Point, NY; Riverhead, NY; Port Jefferson Station, NY; Port Jefferson, NY; Bay Shore, NY; Brightwaters, NY…

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Harbor View Medical SRV PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3001 Express Dr N
Ste 104
Islandia, NY 11749
Phone (631) 435-0110

63 Oakcrest Ave
Middle Island, NY 11953
Phone (631) 594-3800

70 N Country Rd
Ste 303
Port Jefferson, NY 11777
Phone (631) 621-4093

75 N Country Rd
Ste 101
Port Jefferson, NY 11777
Phone (631) 476-2721

75 N Country Rd
Ste 204
Port Jefferson, NY 11777
Phone (631) 686-7990

1500 Route 112
Ste A
Port Jefferson Station, NY 11776
Phone (631) 331-1120

70 N Country Rd
Ste 101
Prt Jefferson, NY 11777
Phone (631) 473-0037

745 Route 25A
Ste D
Rocky Point, NY 11778
Phone (631) 689-1400

2500 Nesconset Hwy
Bldg 1662
Stony Brook, NY 11790

2500 Nesconset Hwy
Bldg 16B
Stony Brook, NY 11790
Phone (631) 689-5695

2500 Nesconset Hwy
Bldg 16U
Stony Brook, NY 11790

2500 Nesconset Hwy
Bldg 2
Stony Brook, NY 11790
Phone (631) 444-2571

2500 Nesconset Hwy
Ste 2
Stony Brook, NY 11790

2500 Route 347
Ste 62
Stony Brook, NY 11790

2500 Route 347
Ste 9
Stony Brook, NY 11790
Phone (631) 444-2167

Practitioners & affiliated clinicians

Practitioners 79

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 79

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1861636219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 N COUNTRY RD",
            "address_2": "SUITE 101",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772161",
            "telephone_number": "631-473-0037",
            "fax_number": "631-473-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 N COUNTRY RD",
            "address_2": "SUITE 101",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772161",
            "telephone_number": "631-686-7890",
            "fax_number": "631-473-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR VIEW MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "FARO",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-476-2874",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "188779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.