NPIMap

Organization Active NPI

Harbor View Medical Services PC

  • Gastroenterology Physician
  • Port Jefferson Station, NY
National Provider Identifier
1871150193
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
HARBOR VIEW MEDICAL SERVICES PC
Practice address
1500 Route 112 BLDG 6
Port Jefferson Station, NY 11776-8054
Phone
(631) 686-7890
Fax
(631) 978-7625
NPI assigned
May 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Dr. Joan Faro, MD
Title
President
Phone
(631) 686-7603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1500 Route 112 BLDG 6
Port Jefferson Station, NY 11776-8054

Mailing address

100 Highlands Blvd # 9
Port Jefferson, NY 11777-2320
Phone (631) 686-7809

Other practice location 1

75 N Country Rd
Port Jefferson, NY 11777-2119
Phone (631) 686-7890

Other practice location 2

70 N Country Rd Ste 102
Port Jefferson, NY 11777-2161
Phone (631) 686-7890

Other practice location 3

70 N Country Rd Ste 101
Port Jefferson, NY 11777-2161
Phone (631) 686-7890

Other practice location 4

1500 Route 112 Bldg 5
Port Jefferson Station, NY 11776-8055
Phone (631) 686-7890

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
This NPI is an additional NPI on the 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 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

70 N Country Rd
Ste 102
Port Jefferson, NY 11777
Phone (631) 686-7970

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1871150193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHLANDS BLVD # 9",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772320",
            "telephone_number": "631-686-7809",
            "fax_number": "631-686-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ROUTE 112 BLDG 6",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117768054",
            "telephone_number": "631-686-7890",
            "fax_number": "631-978-7625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 N Country Rd",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson",
            "state": "NY",
            "postal_code": "117772119",
            "country_code": "US",
            "telephone_number": "631-686-7890",
            "fax_number": "631-686-7972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 N Country Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson",
            "state": "NY",
            "postal_code": "117772161",
            "country_code": "US",
            "telephone_number": "631-686-7890",
            "fax_number": "631-978-7625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 N Country Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson",
            "state": "NY",
            "postal_code": "117772161",
            "country_code": "US",
            "telephone_number": "631-686-7890",
            "fax_number": "631-978-7625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Route 112 Bldg 5",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson Station",
            "state": "NY",
            "postal_code": "117768055",
            "country_code": "US",
            "telephone_number": "631-686-7890",
            "fax_number": "631-828-3246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HARBOR VIEW MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "FARO",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-686-7603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.