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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: July 26, 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
Open in Google Maps ↗

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 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.

Other Providers at the Same Location NPPES 20

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

JUSTINA CATHERINE MELLONE DO
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320
AAKAASH VARMA MD
Dermatology
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
KRISELA VOJNIKU MD
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
LORETTA DIDWELL
Physician Assistant
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320
RAYMOND WONG
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-7654
KATLYN ANN CONVILLE ANTHONY NP
Nurse Practitioner (Family)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2565
SHEHNAZ WASIM MD
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-1443
JULIA KOROBENKO DO
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549

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.

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 with the weekly NPPES data releases published by CMS.