Jonathan Samuel Harris, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

215283 Issued in NY

Practice address

1545 Unionport Rd
Park South Medical
Bronx, NY 10462

Phone

(718) 892-2201

Fax

(718) 828-9663

NPI assigned

Aug 2, 2006

Last updated

May 14, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Jefferson Medical College of Thomas Jefferson University, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Park South Medical PLLCGroup PAC ID 6608967898, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Park South Medical PLLC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1427252626
  Medicare reassignment Care Compare group NPD
• Catherine Nhung Lee DPM, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Bronx, NY
  • NPI 1154702884
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1972510626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOLLY LN",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105731018",
            "telephone_number": "914-934-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 UNIONPORT RD",
            "address_2": "PARK SOUTH MEDICAL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10462",
            "telephone_number": "718-892-2201",
            "fax_number": "718-828-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JONATHAN",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "215283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gavin Harris, M.D.
• Iquorn Harris, RN
• Jean Louise Harris, D.O.
• Jermaine Harris
• Jillianne Andre Harris, NP
• Joseph Harris, MD
• Kalia Harris
• Kathy D Harris, LCSW
• Kelise Harris, MD
• Kimberly Pauline Harris, MD

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.