CLARK D. HABER MD
NPI 1639189905
Emergency Medicine in Far Rockaway, NY

Active since August 09, 2006PECOS Enrolled
5115 BEACH CHANNEL DR, PENINSULA HOSPITAL CENTER, FAR ROCKAWAY, NY 11691(718) 734-2700 Get Directions Write a Review

NPPES record last updated: September 15, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Clark D. Haber Md NPPES

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

CLARK D. HABER MD (NPI 1639189905) is an individual emergency medicine provider in Far Rockaway, New York, licensed in New York (129871) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639189905
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCLARK D. HABERCredential: MD
Location Address5115 BEACH CHANNEL DR, PENINSULA HOSPITAL CENTERFar Rockaway, NY 11691-1042
Mailing Address5115 Beach Channel Dr, Peninsula Hospital CenterFar Rockaway, NY 11691-1042 · (718) 734-2700
Sole ProprietorYes
Enumeration DateAugust 9, 2006
Last NPPES UpdateSeptember 15, 2010
✔ NPI 1639189905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 129871
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5115 BEACH CHANNEL DR, Far Rockaway, NY 11691

Other Identifiers 3

Medicare ID-Type Unspecified66K53NY
Medicaid01427292NY
Medicare UPINF70756

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clark D. Haber Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Clark Haber reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legal Medicine
19544 WOODHULL AVE
Jamaica, NY 11423
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
Internal Medicine
1371 SEABURY AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • 1,054 clinicians in this Medicare group
Internal Medicine
2626 HALPERIN AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Bronx Medical Practice PC
  • 1,013 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11691 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Family Medicine
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691
Dentist
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691
Family Medicine
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691
Student in an Organized Health Care Education/Training Program
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691
Pharmacy (Community/Retail Pharmacy)
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691
Clinic/Center (Ambulatory Surgical)
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691
Orthopaedic Surgery
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691
General Acute Care Hospital
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691

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 Clark Haber's NPI number?

The NPI number for Clark Haber is 1639189905. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Clark Haber located?

Clark Haber practices at 5115 Beach Channel Dr Peninsula Hospital Center, Far Rockaway, NY 11691. The listed phone number is (718) 734-2700.

What is Clark Haber's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Clark Haber enrolled in Medicare?

Yes. Clark Haber is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Clark Haber's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clark Haber reassigns Medicare benefits to 3 organizations: Essen Medical Associates,pc (Jamaica, NY), House Call Medical Services Of New York, PLLC (Bronx, NY) and Bronx Medical Practice P.C. (Bronx, NY). Each 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 Clark Haber's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clark Haber accept?

Health plans from Anthem Blue Cross and Blue Shield list Clark Haber as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clark Haber was last updated on September 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.