Individual provider Active NPI

Stephen U Harris, MD

  • Plastic Surgery Physician
  • West Islip, NY
National Provider Identifier
1962402677
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
187253-1 Issued in NY
Practice address
500 Montauk Hwy
Suite H
West Islip, NY 11795-4418
Phone
(631) 422-9100
Fax
(631) 422-2411
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 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 187253-1 NY Primary

Addresses

Primary practice location

500 Montauk Hwy
Suite H
West Islip, NY 11795-4418

Mailing address

500 Montauk Hwy
Suite H
West Islip, NY 11795-4418
Phone (631) 422-9100

Other identifiers 1

IdentifierTypeStateIssuer
P00279602OtherNYTRAVELERS MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031118000412 NY Practitioner - General Surgery 6901710508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Boston University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen U. Harris, MD PLLCGroup PAC ID 5395640999, 2 clinicians

Practice addresses (Care Compare)

500 Montauk Hwy
Suite H
West Islip, NY 11795-4419
Phone (631) 422-9100

Hospital & facility affiliations

  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy24
Melanoma (skin cancer) excision50
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
187253-1NYMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen U. Harris, MD PLLC CurrentSince Mar 1, 2003 Accepting new patients
Long Island Plastic Surgical Group, PC Past Accepting new patients

Locations

500 Montauk Hwy
Ste H
West Islip, NY 11795
Phone (631) 422-9100

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1962402677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MONTAUK HWY",
            "address_2": "SUITE H",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954418",
            "telephone_number": "631-422-9100",
            "fax_number": "631-422-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MONTAUK HWY",
            "address_2": "SUITE H",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954418",
            "telephone_number": "631-422-9100",
            "fax_number": "631-422-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "STEPHEN",
        "middle_name": "U",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "187253-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "P00279602",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.