Organization Active NPI

Leslie M Sims MD PLLC

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1073703229
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1930841 Issued in NY
Legal business name
LESLIE M SIMS MD PLLC
Practice address
240 Willoughby St
Suite 4a
Brooklyn, NY 11201-5465
Phone
(718) 250-6937
Fax
(718) 250-6142
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Leslie M Sims, MD
Title
Director / MD
Phone
(212) 851-6337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 1930841 NY Primary

Addresses

Primary practice location

240 Willoughby St
Suite 4a
Brooklyn, NY 11201-5465

Mailing address

760 Saint Nicholas Ave
Apartment 4
New York, NY 10031-4049
Phone (212) 851-6337

Other identifiers 1

IdentifierTypeStateIssuer
01496033MedicaidNY

National Provider Directory

National Provider Directory

Locations

6320 S Pecos Rd
Ste 118
Las Vegas, NV 89120

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1073703229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 SAINT NICHOLAS AVE",
            "address_2": "APARTMENT 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100314049",
            "telephone_number": "212-851-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLOUGHBY ST",
            "address_2": "SUITE 4A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015465",
            "telephone_number": "718-250-6937",
            "fax_number": "718-250-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE M SIMS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR / MD",
        "authorized_official_telephone_number": "212-851-6337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "1930841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01496033",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.