Individual provider Active NPI

Laurence Stanley Harris, M.D.

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1891879367
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
092819 Issued in NY
Practice address
1095 Park Ave
New York, NY 10128-1154
Phone
(212) 879-4514
Fax
(212) 410-0960
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 092819 NY Primary

Addresses

Primary practice location

1095 Park Ave
New York, NY 10128-1154

Mailing address

1095 Park Ave
New York, NY 10128-1154
Phone (212) 879-4514

Other identifiers 2

IdentifierTypeStateIssuer
NS3609OtherOXFORD PROVIDER NUMBER
504231OtherEMPIRE B/S PROVIDER NUMBE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
092819NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Laser and Surgery of Carnegie Hill PLLC PastSince May 1, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1891879367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281154",
            "telephone_number": "212-879-4514",
            "fax_number": "212-410-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281154",
            "telephone_number": "212-879-4514",
            "fax_number": "212-410-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LAURENCE",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "092819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER NUMBER",
            "identifier": "NS3609",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE B/S PROVIDER NUMBE",
            "identifier": "504231",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.