Individual provider Active NPI

Jonathan A Harris, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • New York, NY
National Provider Identifier
1982843868
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
246524 Issued in NY
Practice address
331 E 58TH St
5-B
New York, NY 10022-2217
Phone
(646) 472-0023
NPI assigned
Feb 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 246524 NY Primary

Addresses

Primary practice location

331 E 58TH St
5-B
New York, NY 10022-2217

Mailing address

331 E 58TH St
5-B
New York, NY 10022-2217
Phone (646) 472-0023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121129000002 NY Practitioner - Pathology 3779735626 Reassigns benefits to 1 organization
I20181128002449 NJ Practitioner - Pathology 3779735626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
State University of New York Downstate Medical Center, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livingston Pathology Associates, LLCGroup PAC ID 3678678828, 10 clinicians

Practice addresses (Care Compare)

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-5763

Hospital & facility affiliations

  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009
  • Jersey City Medical Center Hospital, Jersey City, NJ, CCN 310074

Merit-based Incentive Payment System (MIPS)

Final score
88.85 of 100Reported as group
Quality
68.07
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246524NYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Pathology Associates, LLC Anatomic Pathology & Clinical Pathology CurrentSince Oct 20, 2018 Accepting new patients
Pathology Consultants of Brooklyn CurrentSince Nov 1, 2012 Accepting new patients

Locations

1919 S Highland Ave
Ste 210
Lombard, IL 60148

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

6010 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 238-2100

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 4

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": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1982843868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 E 58TH ST",
            "address_2": "5-B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222217",
            "telephone_number": "646-472-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 E 58TH ST",
            "address_2": "5-B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222217",
            "telephone_number": "646-472-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JONATHAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "246524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.