Simon Fensterszaub, D.O.
Individual provider Active NPI Family Medicine Physician · Bristol, RI
NPI 1003077322 · NPPES record last updated Jun 19, 2026
Key facts
- NPI
- 1003077322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 249846 (NY)
- Practice address
- 7 Creek LN
Bristol, RI 02809-2401 - Phone
- (718) 964-6161
- NPI assigned
- Jun 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 27
Hospital & facility affiliations 5
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- 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 PC
Suffolk Primary Health LLC
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
- Vitas Healthcare Corporation Atlantic
- Central Vermont Medical Center
- Delaware Bay Rehabilitation and Healthcare Center
- Medicana Nursing and Rehab Center
- St. Johnsbury Health & Rehab
- Barre Gardens Nursing and Rehab, LLC
- Vantage at Worcester LLC
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 30 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (43 enrollments) 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, ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Quality Rehab Management |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Apr 1, 2024 Apr 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110428000025 | NY | Practitioner - Family Practice | 5890970230 | Reassigns benefits to 6 organizations |
| I20171017002995 | OH | Practitioner - Internal Medicine |
5890970230 | Reassigns benefits to 1 organization |
| I20171031000238 | VT | Practitioner - Family Practice |
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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19019 | CA | MD | Clinical Psychologist |
| 4024 | WV | MD | Dentist |
Practice roles (17 of 21)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SF Georgia Medical Services PC | Current |
Accepting new patients | |
| Infinite Medical Group Al PC | Current |
Accepting new patients | |
| Infinite Medical PC | Family Medicine | Current |
Accepting new patients |
| Sun View Medical Services PA | Family Medicine | Current |
Accepting new patients |
| Elite Podiatry LLC | Family Medicine | Current |
Accepting new patients |
| Suffolk Primary Health, LLC | Current |
Accepting new patients | |
| Maimonides Medical Center | Current | Accepting new patients | |
| QHC Upstate Medical, P.C. | Current |
Accepting new patients | |
| Swift Optometry Care PC | Past | Accepting new patients | |
| Big Spring Nursing and Rehab LLC | Past | Accepting new patients | |
| Sacred Care Medical Services PC | Family Medicine | Past | Accepting new patients |
| Buffalo Prairie Nursing and Rehab LLC | Past | Accepting new patients | |
| Georgetown SNF Operations LLC | Past | Accepting new patients | |
| Marshfield Healthcare LLC | Past | Accepting new patients | |
| Daniel S. Berman, M.D., Infectious Diseases P.C. | Past | Accepting new patients | |
| Harrison Senior Living of Georgetown, LLC | Past | Accepting new patients | |
| Bear Mt Worcester LLC | 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 (203) 294-7300
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 H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GGHFCD/Endpoint/GGHFCD
- https://fhir4.healow.com/fhir/r4/IFCJCD
- https://fhir4.healow.com/fhir/r4/IFCJCD/Endpoint/IFCJCD
- simonfensterszaub@mai.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 249846 | NY | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03157917 | Medicaid | NY |
Other providers in Bristol, RI
- Edwards Health LLC
- Robert Browning Edwards II
- James William Enos
- Kerri Estrella
- Angela Fedorcuk
- April Fernandez
- Caleb Ferreira
- Haley Ferreira
- Jennifer Lynn Ferreira
- Debra Kay Filardo
All providers in Bristol, RI · Family Medicine Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.