CLARK D. HABER (NPI# 1639189905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639189905 |
| Entity Type | Individual |
| Full Name | CLARK D. HABER |
| Credential | MD |
| Practice Address |
5115 Beach Channel Dr Peninsula Hospital Center Far Rockaway NY 11691-1042 |
| Practice Telephone | 7187342700 |
| Mailing Telephone | 7187342700 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2010-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 129871 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01427292 | 05 |
| Street Address |
5115 BEACH CHANNEL DR PENINSULA HOSPITAL CENTER |
| City | FAR ROCKAWAY |
| State | NY |
| Zip Code | 11691-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629644 | Peninsula Hospital Center | General Acute Care Hospital | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2005-06-20 |
| 1144590860 | Ahava Group II | Pharmacy | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2012-01-11 |
| 1740558444 | Nora Ligia Benavides | Student in an Organized Health Care Education/Training Program | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2011-12-08 |
| 1912275041 | Martin A. Grossman, Md PC | Internal Medicine | 5115 Beach Channel Dr, Suite #421, Far Rockaway, NY 11691-1042 | 2011-12-04 |
| 1477832426 | Janice Carrero | Student in an Organized Health Care Education/Training Program | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2011-08-09 |
| 1164719159 | Christopher Michael Betz | Orthopaedic Surgery | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2011-06-29 |
| 1043506769 | Leah Spiegel | Dentist | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2011-06-21 |
| 1487966818 | William Richard Schneider | Student in an Organized Health Care Education/Training Program | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2010-07-14 |
| 1982928008 | Rajbir S. Chopra Physician, P.C. | Internal Medicine | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2010-03-18 |
| 1720318785 | Kayrov Medical P.C. | Family Medicine | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2010-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261772 | Jalpa Dholaria | Physical Therapist | 265 Beach 20th Street, Far Rockaway, NY 11691 | 2020-09-30 |
| 1578179529 | Sneha Satheesh Menon | Physical Therapist | 265 Beach 20th Street Far Rockaway, Queens, NY 11691 | 2020-09-16 |
| 1558997676 | Manuel Garcia Morell | Student in an Organized Health Care Education/Training Program | 327 Beach 19 Th St, Far Rockaway, Queens, NY 11691 | 2020-03-20 |
| 1750927992 | Barbrara Graham | Licensed Practical Nurse | 143 Baech 26th Street, Apt 2, Far Rockaway, NY 11691 | 2019-11-22 |
| 1639735665 | Ernest Okwuonu | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St., Rockaway, NY 11691 | 2019-05-15 |
| 1700342433 | Reliable Care Consulting LLC | Case Management | 1858 Cornaga Ave, 2nd Fl., Far Rockaway, NY 11691 | 2019-02-19 |
| 1336604008 | Menaka Abeyewardene | Student in an Organized Health Care Education/Training Program | St. John's Episcopal Hospital, 327 Beach 19th Street, Far Rockaway, NY 11691 | 2019-02-06 |
| 1346733441 | Keisha Taylor-glanville | Social Worker | 20-2 Seagrit Blvd., Queens, NY 11691 | 2018-06-13 |
| 1336631035 | Michael Y Ivry Dds PC | Oral & Maxillofacial Surgery | 2550 Seagirt Blvd, Far Rockaway, NY 11691 | 2018-05-30 |
| 1992202071 | Angel David Aponte | Student in an Organized Health Care Education/Training Program | 327 Beach 19st, Internal Medicine Dpt, Far Rockaway, NY 11691 | 2018-04-06 |
| Find all providers in zip 11691 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689036626 | Gabrielle Moronta | Emergency Medicine | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2016-03-28 |
| 1588044572 | Amy Lee | Emergency Medicine | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2015-06-04 |
| 1750712220 | 210 Mjd Medical, Pllc | Emergency Medicine | 228 Beach 20th St, Far Rockaway, NY 11691-3618 | 2013-12-09 |
| 1710116421 | Patricia Marcelle Pamy | Emergency Medicine | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2009-07-02 |
| 1669635231 | St Johns Emergency Medical Services PC | Emergency Medicine | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2008-07-03 |
| 1225246077 | Joshua Brett Moskovitz | Emergency Medicine | 327 Beach 19th St, Office of Emergency Medicine, Far Rockaway, NY 11691-4423 | 2007-05-17 |
| 1609095280 | Peninsula Medical Services PC | Emergency Medicine | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2007-04-24 |
| 1962524447 | Rockaway Physician Pllc | Emergency Medicine | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2007-04-04 |
| 1356478945 | Jeanne Elise Franks | Emergency Medicine | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | 2007-02-28 |
| 1639160385 | Island Emergency Medical Services, P.C. | Emergency Medicine | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2005-11-02 |
| Find all providers in FAR ROCKAWAY | ||||
| City | FAR ROCKAWAY |
| Zip Code | 11691 |
Please comment or provide details below to improve the information on CLARK D. HABER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.