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

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
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: August 09, 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 and is a graduate of Other (1973).

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
Phone(718) 734-2700
Sole ProprietorYes
Medical School CMSOtherGraduated 1973
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
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Other Identifiers 3

Medicare ID-Type Unspecified66K53NY
Medicaid01427292NY
Medicare UPINF70756

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Clark D. Haber Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678462637
PECOS Enrollment IDI20040315001239
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.

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.

DR. SALLI LAUFER M.D.
Family Medicine
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691
Queens County (212) 563-2627
LEAH SPIEGEL DDS
Dentist
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691
Queens County (718) 734-2770
LADA GALILOVA D.O.
Family Medicine
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691
Queens County (718) 734-3020
DR. VICTOR LOPEZ JR. D.O.
Student in an Organized Health Care Education/Training Program
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691
Queens County (718) 734-3020
AHAVA GROUP II
Pharmacy (Community/Retail Pharmacy)
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691
Queens County (718) 629-1000
PENINSULA HOSPITAL CENTER
Clinic/Center (Ambulatory Surgical)
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691
Queens County (718) 743-2000
CHRISTOPHER MICHAEL BETZ D.O
Orthopaedic Surgery
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691
Queens County (718) 734-3020
PENINSULA HOSPITAL CENTER
General Acute Care Hospital
5115 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691
Queens County (718) 734-2568

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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 15 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.