Dr Fredrick Harris, DDS, PHD - Medicare Dentist in Newark, NJ

Dr Fredrick Harris, DDS, PHD is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Newark, New Jersey. His current practice location is 237 Halsey Street, Newark, New Jersey. You can reach out to his office (for appointments etc.) via phone at (862) 955-2285.

Dr Fredrick Harris is licensed to practice in New Jersey (license number 22DI02899700) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477115822.

Contact Information

Dr Fredrick Harris, DDS, PHD
237 Halsey Street,
Newark, NJ 07102
(862) 955-2285
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Fredrick Harris
GenderMale
SpecialityDentist - Pediatric Dentistry
Location237 Halsey Street, Newark, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477115822
  • Provider Enumeration Date: 07/06/2019
  • Last Update Date: 07/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9335478932
  • Enrollment ID: I20190906002356

Medical Identifiers

Medical identifiers for Dr Fredrick Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477115822NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 22DI02899700 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Fredrick Harris is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Fredrick Harris, DDS, PHD
237 Halsey Street,
Newark, NJ 07102

Ph: (862) 955-2285
Dr Fredrick Harris, DDS, PHD
237 Halsey Street,
Newark, NJ 07102

Ph: (862) 955-2285

Reviews and Comments


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