Individual provider Active NPI

Elie Frederic Harouche, MD, FACS

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1942389309
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
136181 Issued in NY
Practice address
903 Park Ave
New York, NY 10021-0338
Phone
(212) 570-1794
Fax
(516) 367-4925
NPI assigned
Nov 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 136181 NY Primary

Addresses

Primary practice location

903 Park Ave
New York, NY 10021-0338

Mailing address

903 Park Ave
New York, NY 10021-0338
Phone (212) 570-1794

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

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942389309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210338",
            "telephone_number": "212-570-1794",
            "fax_number": "516-367-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210338",
            "telephone_number": "212-570-1794",
            "fax_number": "516-367-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAROUCHE",
        "first_name": "ELIE",
        "middle_name": "FREDERIC",
        "credential": "MD, FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "136181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.