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HAVEN FAMILY MEDICINE, P.C.
NPI 1003503392
Family Medicine in New York, NY

Active since April 18, 2023CLIA 33D2313714 · Waiver
707 W 171ST ST STE W, NEW YORK, NY 10032(212) 927-3232(212) 927-4571 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Haven Family Medicine, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAVEN FAMILY MEDICINE, P.C. (NPI 1003503392) is a healthcare organization registered as a family medicine in New York, New York and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through November 5, 2026 and lists Roberto Moran, Owner, as its authorized official.

NPPES Registry Identity

NPI1003503392
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHAVEN FAMILY MEDICINE, P.C.
Location Address707 W 171ST ST STE WNew York, NY 10032-2811
Mailing Address707 W 171st St Ste WNew York, NY 10032-2811 · (212) 927-3232 · Fax (212) 927-4571
Phone(212) 927-3232
Fax(212) 927-4571
Organization SubpartNo
Authorized OfficialRoberto MoranOwner · (718) 902-2244
Enumeration DateApril 18, 2023
Last NPPES UpdateApril 9, 2025
NPPES CertifiedApril 9, 2025
✔ NPI 1003503392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/CenterTaxonomy 261Q00000X
707 W 171ST ST STE W, New York, NY 10032
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2313714

Haven Family Medicine PC · New York, NY
Active · expires Nov 5, 2026
CLIA Number33D2313714
Laboratory TypePhysician Office
Certificate Effective DateNovember 6, 2024
Certificate Expiration DateNovember 5, 2026
Laboratory DirectorDr. Roberto A. Moran
Laboratory Phone(212) 927-3232
Laboratory LocationHaven Family Medicine PC707 West 171 Street Suite W, New York, NY 10032
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSE A BAEZ MD PC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
707 W 171ST ST STE W
NEW YORK, NY 10032
New York County (212) 927-4765

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Haven Family Medicine, P.C.'s NPI number?

The NPI number for Haven Family Medicine, P.C. is 1003503392. It was assigned to this organization in the NPPES registry on April 18, 2023.

Where is Haven Family Medicine, P.C. located?

Haven Family Medicine, P.C. is located at 707 W 171st St Ste W, New York, NY 10032. The listed phone number is (212) 927-3232.

What is Haven Family Medicine, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Haven Family Medicine, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2313714) is associated with this NPI, valid through November 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Haven Family Medicine, P.C. was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.