Individual provider Active NPI

Simon Fensterszaub, D.O.

  • Family Medicine Physician
  • Bristol, RI
National Provider Identifier
1003077322
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
249846 Issued in NY
Practice address
7 Creek LN
Bristol, RI 02809-2401
Phone
(718) 964-6161
NPI assigned
Jun 19, 2008
Last updated
Jun 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 249846 NY Primary

Addresses

Primary practice location

7 Creek LN
Bristol, RI 02809-2401

Mailing address

250 Skillman St Ste 202
Brooklyn, NY 11205-1218
Phone (718) 964-6161

Other practice location 1

432 Bedford Ave
Brooklyn, NY 11249-6588
Phone (718) 964-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH, VT, CT, FL, GA, NJ, IN, NE, TN, TX, CO, MA, PA, UT, MO, MD, WI, VA, MI, KS, RI, IA, NC, NV, KY, NH, IL, AL, WA, CA, OK, MT, WV, WY, SC, DE, DC, MN, LA, ME, NM, ID43 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 43

Enrollment IDStateProvider typePAC IDDetails
I20110428000025 NY Practitioner - Family Practice 5890970230 Reassigns benefits to 6 organizations
I20171017002995 OH Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Geriatric Medicine 5890970230 Reassigns benefits to 1 organization
I20171031000238 VT Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Geriatric Medicine 5890970230 Reassigns benefits to 2 organizations
I20190411001855 CT Practitioner - Family Practice 5890970230 Reassigns benefits to 2 organizations
I20190429001275 FL Practitioner - Family Practice 5890970230 Reassigns benefits to 3 organizations
I20190622000078 GA Practitioner - Family Practice 5890970230 Reassigns benefits to 4 organizations
I20200108001714 NJ Practitioner - Family Practice 5890970230 Reassigns benefits to 2 organizations
I20201027002278 IN Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20210920000567 NE Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20211103001412 TN Practitioner - Family Practice 5890970230 Reassigns benefits to 2 organizations
I20220104000676 TX Practitioner - Family Practice 5890970230 Reassigns benefits to 3 organizations
I20220126002646 CO Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20220215000104 MA Practitioner - Family Practice 5890970230 Reassigns benefits to 2 organizations
I20220225000019 PA Practitioner - Family Practice 5890970230 Reassigns benefits to 3 organizations
I20220401001513 UT Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20220404002249 MO Practitioner - Family Practice 5890970230 Reassigns benefits to 3 organizations
I20220421000007 MD Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20220713002897 WI Practitioner - Family Practice 5890970230 Reassigns benefits to 2 organizations
I20220915000061 VA Practitioner - Family Practice 5890970230 Reassigns benefits to 2 organizations
I20221029000229 MI Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20230209002906 KS Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20230306001497 RI Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20230319000046 IA Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20230328002485 NC Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20230331002188 NV Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20230404000678 KY Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20230404001139 NH Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20230405002814 IL Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20230407001013 AL Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20230419002471 WA Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20230428000857 CA Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20230605002713 OK Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20230621003254 MT Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20230705003533 WV Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20230718003716 WY Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20230802003163 SC Practitioner - Family Practice 5890970230 Reassigns benefits to 2 organizations
I20230814001185 DE Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20231006003259 DC Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20231011002057 MN Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20250307000700 LA Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20250320002203 ME Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20260309002879 NM Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization
I20260624000799 ID Practitioner - Family Practice 5890970230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infinite Medical PCGroup PAC ID 8325477656, 87 clinicians
Suffolk Primary Health LLCGroup PAC ID 9436420510, 46 clinicians

Practice addresses (Care Compare)

101 Walnut St
Neptune, NJ 07753-4301
Phone (718) 534-0689

1010 Carpenters Way
Lakeland, FL 33809-3926
Phone (212) 734-6621

1010 W Main St
Henderson, TX 75652-2923
Phone (718) 534-0689

111 Headwaters Dr
Harwich, MA 02645-1028
Phone (718) 534-0689

1110 Westview Dr
Seymour, TX 76380-3965
Phone (718) 534-0689

1150 Whitley Rd
Keller, TX 76248-3038
Phone (718) 534-0689

11915 27TH Ave
Flushing, NY 11354-1011
Phone (212) 734-6621

1201 Colonel Dr
Garland, TX 75043-1303
Phone (718) 534-0689

1216 5TH Ave
Youngstown, OH 44504-1605
Phone (718) 534-0689

1301 Mesa Dr
Plainview, TX 79072-3905
Phone (718) 534-0689

13755 Golf Club Pkwy
Fort Myers, FL 33919-5146
Phone (212) 734-6621

14200 Laurel Park Dr
Laurel, MD 20707-5201
Phone (212) 734-6621

1501 Office Park Rd
West Des Moines, IA 50265-2497
Phone (212) 734-6621

16200 S Jog Rd
Delray Beach, FL 33446-2321
Phone (212) 734-6621

170 Old Country Rd
Riverhead, NY 11901-2198
Phone (631) 208-4460

1700 Monroe Ave
Maitland, FL 32751-6672
Phone (212) 734-6621

1851 Elkcam Blvd
Deltona, FL 32725-3922
Phone (212) 734-6621

1901 Whipporwill LN
Kilgore, TX 75662-3880
Phone (718) 534-0689

200 Whiteman Ave
Elkins, WV 26241-3400
Phone (212) 734-6621

22 Maple Ridge Dr
Cartersville, GA 30121-2228
Phone (718) 534-0689

220 Sierra Dr
Miami, FL 33179-3855
Phone (212) 734-6621

22580 W Main St
Armada, MI 48005-3242
Phone (718) 534-0689

250 Skillman St
Brooklyn, NY 11205-1218
Phone (718) 964-6161

2733 McCampbell Ave
Nashville, TN 37214-2913
Phone (212) 734-6621

298 SW Prosperity PL
Lake City, FL 32024-0684
Phone (212) 734-6621

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue30
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4024WVMDDentist
83837SCMDRegistered Nurse
19019CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Infinite Medical Group Al PC CurrentSince Jul 1, 2025 Accepting new patients
Suffolk Primary Health, LLC CurrentSince Feb 15, 2023 Accepting new patients
Infinite Medical PC Family Medicine CurrentSince Apr 21, 2020 Accepting new patients
Sun View Medical Services PA Family Medicine CurrentSince May 1, 2025 Accepting new patients
Elite Podiatry LLC Family Medicine CurrentSince Dec 1, 2019 Accepting new patients
SF Georgia Medical Services PC CurrentSince Jun 13, 2019 Accepting new patients
QHC Upstate Medical, P.C. CurrentSince Oct 1, 2018 Accepting new patients
Buffalo Prairie Nursing and Rehab LLC Past Accepting new patients
Georgetown SNF Operations LLC Past Accepting new patients
Swift Optometry Care PC Past Accepting new patients
Harrison Senior Living of Georgetown, LLC Past Accepting new patients
Bear Mt Worcester LLC Past Accepting new patients
Big Spring Nursing and Rehab LLC Past Accepting new patients
Marshfield Healthcare LLC Past Accepting new patients
Sacred Care Medical Services PC Family Medicine Past Accepting new patients
Daniel S. Berman, M.D., Infectious Diseases P.C. Past Accepting new patients

Locations (25 of 64)

1470 N Fair Oaks Ave
Pasadena, CA 91103
Phone (323) 842-8800

900 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 419-0956

1005 E Elizabeth St
Fort Collins, CO 80524
Phone (970) 482-2523

80 Fern Dr
Torrington, CT 06790
Phone (860) 294-3607

5651 Limestone Rd
Wilmington, DE 19808
Phone (302) 239-8583

2903 Stirling Rd
Fort Lauderdale, FL 33312
Phone 2124198180 ext. 98180

674 Pioneer Rd
Jupiter, FL 33458
Phone (561) 485-0070

221 Park Place Blvd
Kissimmee, FL 34741
Phone (407) 900-4885

12314 Quail Roost Dr
Miami, FL 33177

5539 Charles St
New Prt Rchy, FL 34652
Phone (727) 489-0175

1255 NE 135th St
North Miami, FL 33161
Phone (305) 891-6850

220 Sierra Dr
North Miami Beach, FL 33179
Phone (305) 653-8427

22 Maple Ridge Dr
Cartersville, GA 30121
Phone (770) 606-8800

1501 Office Park Rd
West Des Moines, IA 50265
Phone (515) 223-1223

6840 W Touhy Ave
Niles, IL 60714
Phone (317) 873-7450

343 S Nappanee St
Elkhart, IN 46514
Phone (574) 295-0096

6515 W 103rd St
Shawnee Mission, KS 66212
Phone (913) 642-5545

2770 Palumbo Dr
Lexington, KY 40509
Phone (859) 263-2410

4405 Airline Dr
Bossier City, LA 71111
Phone (318) 424-5449

111 Headwaters Dr
Harwich, MA 02645
Phone (508) 430-1717

1 Price Dr
Elkton, MD 21921
Phone (410) 398-6474

14200 Laurel Park Dr
Laurel, MD 20707
Phone (301) 953-7980

9 Lewis Rd
Kittery, ME 03904
Phone (207) 439-9800

22580 W Main St
Armada, MI 48005
Phone (586) 784-5322

3245 Vera Cruz Ave N
Robbinsdale, MN 55422
Phone (516) 729-0070

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGHFCD/Endpoint/GGHFCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFCJCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFCJCD/Endpoint/IFCJCD
  • Direct secure messaging: simonfensterszaub@mai.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Quality Rehab ManagementLagrange, GA, CCN 115354 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Apr 1, 2024
Apr 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 27

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 27

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1003077322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SKILLMAN ST STE 202",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051218",
            "telephone_number": "718-964-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CREEK LN",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028092401",
            "telephone_number": "718-964-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "432 Bedford Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112496588",
            "country_code": "US",
            "telephone_number": "718-964-6161",
            "fax_number": "718-387-9222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENSTERSZAUB",
        "first_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "249846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, RI

Sources for this page

Verify at the official NPI Registry.