Individual provider Active NPI

Marcia A Harris, M.D.

  • Gynecology Physician
  • New York, NY
National Provider Identifier
1982791323
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
129996 Issued in NY
Practice address
360 E 72ND St Ste 1a
New York, NY 10021-4753
Phone
(212) 249-1741
Fax
(212) 628-8224
NPI assigned
Oct 6, 2006
Sex
Female
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
Gynecology Physician 207VG0400X 129996 NY Primary

Addresses

Primary practice location

360 E 72ND St Ste 1a
New York, NY 10021-4753

Mailing address

360 E 72ND St Ste 1a
New York, NY 10021-4753
Phone (212) 249-1741

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
I20171116002058 NY Practitioner - Obstetrics/Gynecology 4082934823 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
129996NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emusc, LLC CurrentSince Sep 4, 2017 Accepting new patients
Emusc, LLC CurrentSince Sep 4, 2017 Accepting new patients

Locations

8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982791323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E 72ND ST STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214753",
            "telephone_number": "212-249-1741",
            "fax_number": "212-628-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E 72ND ST STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214753",
            "telephone_number": "212-249-1741",
            "fax_number": "212-628-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MARCIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "129996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.