Dr. Jay Evans Harris , MD
Specialist • Stony Brook, NY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jay Harris has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jay Harris, MD was a registered Specialist practicing in Stony Brook, NY. Throughout an active medical career spanning 16 years, Dr. Harris provided care at the practice location at STADIUM RD until profile deactivation on 2024-11-21.
Practice Location & Contact Primary Location
Stadium Rd
Student Health Service
Stony Brook, NY 117940001
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Stony Brook, NY
Practicing in Stony Brook, NY (23296 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Psychologist - Clinical
Doctor of Psychology (Psy.D.)
Psychologist - Clinical
Doctor of Philosophy (Ph.D.)
Psychologist - Clinical
Psychologist
Psychologist - Health Service
Doctor of Philosophy (Ph.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 21, 2024
NPI status registered as active in NPPES database
Registered at STADIUM RD, STUDENT HEALTH SERVICE, STONY BROOK, NY 117940001 (Tel: 6316326720)
Registered at 108 MARLBOROUGH RD, HIGHLAND PARK, NJ 089043532 (Tel: 6313352801)
Recorded as JAY HARRIS, MD
Specialist (License #093440 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
108 Marlborough Rd
Highland Park, NJ 089043532
Phone: 6313352801
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