Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Haven Family Medicine, PC

Organization Family Medicine Physician · NPI 1003503392

Haven Family Medicine, PC is a Family Medicine Physician in New York, New York. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

707 W 171st St Ste W
New York, NY 10032-2811
Phone: (212) 927-3232
Fax: (212) 927-4571
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1003503392
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roberto Moran — Owner · (718) 902-2244
NPI enumeratedApril 18, 2023
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025
Mailing address707 W 171st St Ste W, New York, NY 10032-2811

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