NPIMap

Organization Active NPI

Harris Anesthesia Associates PC

  • Specialist
  • Ferndale, NY
National Provider Identifier
1881817377
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
HARRIS ANESTHESIA ASSOCIATES PC
Practice address
39 Old Monticello Rd
Ferndale, NY 12734-5224
Phone
(845) 292-0078
Fax
(845) 292-3244
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Hussein Omar, MDNPI 1912946088
Title
Director
Phone
(845) 794-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

39 Old Monticello Rd
Ferndale, NY 12734-5224

Mailing address

PO Box 284
Harris, NY 12742-0284
Phone (845) 794-3300

Other identifiers 1

IdentifierTypeStateIssuer
01624684MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881817377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 284",
            "city": "HARRIS",
            "state": "NY",
            "postal_code": "127420284",
            "telephone_number": "845-794-3300",
            "fax_number": "845-791-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 OLD MONTICELLO RD",
            "city": "FERNDALE",
            "state": "NY",
            "postal_code": "127345224",
            "telephone_number": "845-292-0078",
            "fax_number": "845-292-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS ANESTHESIA ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "845-794-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01624684",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.