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HARBOR VIEW MEDICAL SERVICES PC
NPI 1205216066
Internal Medicine - Rheumatology in Port Jefferson, NY

Active since June 05, 2015CLIA 33D2109161 · Waiver
75 N COUNTRY RD, SUITE 100, PORT JEFFERSON, NY 11777(631) 686-7890(631) 686-7972 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 12, 2024, Mar 21, 2023, Sep 26, 2019 (3 updates tracked since 2019).

About Harbor View Medical Services Pc NPPES

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

HARBOR VIEW MEDICAL SERVICES PC (NPI 1205216066) is a healthcare organization registered as a rheumatology in Port Jefferson, New York and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Joan Faro, President, as its authorized official.

NPPES Registry Identity

NPI1205216066
Entity TypeOrganization
Primary Taxonomy207RR0500X
Legal Business NameHARBOR VIEW MEDICAL SERVICES PC
Location Address75 N COUNTRY RD, SUITE 100Port Jefferson, NY 11777-2119
Mailing Address100 Highlands Blvd, Box#9Port Jefferson, NY 11777-2320 · (631) 686-7809 · Fax (631) 686-7972
Phone(631) 686-7890
Fax(631) 686-7972
Organization SubpartNo
Authorized OfficialJoan FaroPresident · (631) 473-1320
Enumeration DateJune 5, 2015
Last NPPES UpdateJune 12, 20243 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1205216066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
75 N COUNTRY RD, Port Jefferson, NY 11777
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Harbor View Medical Services Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

68

Medicare enrollment records show 68 clinicians reassign Medicare billing to Harbor View Medical Services PC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 43 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Nurse Practitioner16
Internal Medicine14
Cardiovascular Disease (Cardiology)6
Family Practice6
Endocrinology4
Vascular Surgery4
Critical Care (Intensivists)3
Registered Dietitian or Nutrition Professional3
9 other specialties12

Nearest to this location (20)

See all 68
Halyna Chykyda
Internal Medicine
NPI 1881073740
75 N COUNTRY RD
Port Jefferson, NY 11777
(631) 473-1320
✔ PECOS✔ Accepts MedicareSame address
Wardah Khan, MD
Internal Medicine
NPI 1124508965
75 N COUNTRY RD
Port Jefferson, NY 11777
(631) 686-2517
✔ PECOS✔ Accepts MedicareSame address
Daniel Shapiro, NP
Nurse Practitioner
NPI 1407324478
75 N COUNTRY RD
Port Jefferson, NY 11777
(631) 473-1320
✔ PECOSSame address
Mohit Sharma, M.D.
Cardiovascular Disease (Cardiology)
NPI 1063831428
75 N COUNTRY RD
Port Jefferson, NY 11777
(631) 473-1320
✔ PECOS✔ Accepts MedicareSame address
Katlyn Conville, NP
Nurse Practitioner
NPI 1023679503
75 N COUNTRY RD
Port Jefferson, NY 11777
(631) 686-2565
✔ PECOS✔ Accepts MedicareSame address
Iryna Ilyasova, M.D
Internal Medicine
NPI 1073005484
75 N COUNTRY RD
Port Jefferson, NY 11777
(631) 473-1320
✔ PECOS✔ Accepts MedicareSame address
Andrew Weber, MD
Critical Care (Intensivists)
NPI 1922492305
75 N COUNTRY RD
Port Jefferson, NY 11777
(516) 698-9289
✔ PECOS✔ Accepts MedicareSame address
Ella Rosenbloom, M.D.
Endocrinology
NPI 1811275548
625 BELLE TERRE RD
Port Jefferson, NY 11777
(631) 686-2551
✔ PECOS✔ Accepts MedicareSame address
Mohamad Abouzeid, M.D.
General Surgery
NPI 1144464421
70 N COUNTRY RD STE 102
Port Jefferson, NY 11777
(631) 938-6999
✔ PECOS✔ Accepts Medicare0.1 mi
Anna Burrowes-Mulvey, RDN, CDCES
Registered Dietitian or Nutrition Professional
NPI 1669239703
70 N COUNTRY RD STE 303
Port Jefferson, NY 11777
(631) 621-4093
✔ Accepts Medicare0.1 mi
Maritza Groth, MD
Critical Care (Intensivists)
NPI 1306908314
70 N COUNTRY RD SUITE 101
Port Jefferson, NY 11777
(631) 473-0037
✔ PECOS✔ Accepts Medicare0.1 mi
Lisa Pereira, AGNP-C
Nurse Practitioner
NPI 1790447688
70 N COUNTRY RD STE 102
Port Jefferson, NY 11777
(631) 938-6999
✔ PECOS✔ Accepts Medicare0.1 mi
Karina Fatakhova, M.D.
Gastroenterology
NPI 1811429343
70 N COUNTRY RD STE 101
Port Jefferson, NY 11777
(631) 978-7700
✔ PECOS✔ Accepts Medicare0.1 mi
Ahmad Bhatti, MD
Vascular Surgery
NPI 1598783953
620 BELLE TERRE RD SUITE #2
Port Jefferson, NY 11777
(631) 524-5960
✔ PECOS✔ Accepts Medicare0.2 mi
Samantha Baca
Nurse Practitioner
NPI 1851120463
125 OAKLAND AVE STE 203
Port Jefferson, NY 11777
(631) 978-7590
✔ PECOS✔ Accepts Medicare0.2 mi
Lewis Bateman, MD
Family Practice
NPI 1396749669
125 OAKLAND AVE SUITE 205 MATHER PRIMARY CARE
Port Jefferson, NY 11777
(631) 686-2523
✔ PECOS0.2 mi
Georgia Kulina, M.D.
Endocrinology
NPI 1457650210
125 OAKLAND AVE STE 203
Port Jefferson, NY 11777
(631) 978-7590
✔ PECOS✔ Accepts Medicare0.2 mi
Priscilla Persaud, M.D.
Internal Medicine
NPI 1457640088
125 OAKLAND AVE STE 204
Port Jefferson, NY 11777
(631) 686-1400
✔ PECOS✔ Accepts Medicare0.2 mi
Jenna Taglienti, MD
Psychiatry
NPI 1497915995
125 OAKLAND AVE SUITE 303
Port Jefferson, NY 11777
(631) 729-2140
✔ PECOS✔ Accepts Medicare0.2 mi
Connor Abramowicz, DO
Endocrinology
NPI 1508485913
125 OAKLAND AVE
Port Jefferson, NY 11777
(631) 978-7590
✔ PECOS✔ Accepts Medicare0.2 mi
See all 68 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 33D2109161

Harbor View Medical Services PC · Port Jefferson, NY
Active · expires Mar 26, 2027
CLIA Number33D2109161
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateFebruary 19, 2016
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Joseph Ng
Laboratory Phone(631) 621-4097
Laboratory LocationHarbor View Medical Services PC125 Oakland Ave - Suite 204, Port Jefferson, NY 11777
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Harbor View Medical Services PC's NPI number?

The NPI number for Harbor View Medical Services PC is 1205216066. It was assigned to this organization in the NPPES registry on June 5, 2015.

Where is Harbor View Medical Services PC located?

Harbor View Medical Services PC is located at 75 N Country Rd Suite 100, Port Jefferson, NY 11777. The listed phone number is (631) 686-7890.

What is Harbor View Medical Services PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Harbor View Medical Services PC enrolled in Medicare?

Yes. Harbor View Medical Services PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Harbor View Medical Services PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 68 clinicians in 17 Medicare specialties reassign their Medicare billing to Harbor View Medical Services PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (16), Internal Medicine (14) and Cardiovascular Disease (Cardiology) (6). Of these, 7 practice at this address and 43 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Harbor View Medical Services PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2109161) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Harbor View Medical Services PC was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.