BRENDA HARRIS MD NPI 1427024975

NPI Information

NPI: 1427024975
Provider Name: BRENDA HARRIS, MD
Classification: Pediatrics - 2080P0008X
Entity Type: Individual

Specialization: Neurodevelopmental Disabilities

PECOS Registration: Yes

Address:
150 NEW PROVIDENCE RD
MOUNTAINSIDE, NJ
ZIP 07092
Phone: (908) 301-5491
Get Directions

Brenda Harris, MD is a neurodevelopmental disabilities pediatrics in Mountainside, NJ. The provider is a pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. Brenda Harris, MD NPI is 1427024975. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

150 NEW PROVIDENCE RD
MOUNTAINSIDE, NJ
ZIP 07092-590
Phone: (908) 301-5491
Fax: (908) 301-5456

The NPI 1427024975 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/24/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0008X	Pediatrics	Neurodevelopmental Disabilities	25MA04680900	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3K3746	OTHER	NEW JERSEY	HEALTHNET
2	E88014	MEDICARE UPIN	NEW JERSEY
3	67931	OTHER	NEW JERSEY	AMERIGROUP
4	1145039	OTHER	NEW JERSEY	AETNA HEALTHCARE
5	221487148-088	OTHER	NEW JERSEY	QUALCARE
6	0107791000	OTHER	NEW JERSEY	AMERICHOICE
7	60020933	OTHER	NEW JERSEY	HORIZON NJ HEALTH
8	P3637710	OTHER	NEW JERSEY	OXFORD HEALTH PLANS
9	S51B01	OTHER	NEW JERSEY	EMPIRE
10	13902	OTHER	NEW JERSEY	UNIVERSITY HEALTH PLANS
11	4577364	OTHER	NEW JERSEY	CIGNA HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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