Organization Active NPI

Compassionate Medical Care PLLC

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1174900948
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
224708-1 Issued in NY
Legal business name
COMPASSIONATE MEDICAL CARE PLLC
Practice address
1776 Boston Rd # Store1B
Bronx, NY 10460-5076
Phone
(718) 618-0618
Fax
(212) 504-8344
NPI assigned
Apr 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Dr. Rosmery Simo, M.D.NPI 1154542579
Title
Physician/Owner
Phone
(352) 727-0778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 224708-1 NY Primary

Addresses

Primary practice location

1776 Boston Rd # Store1B
Bronx, NY 10460-5076

Mailing address

222 Lockwood Ave
New Rochelle, NY 10801-4811
Phone (718) 618-0618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150925000755 NY Part B Supplier - Clinic/Group Practice 7012225998 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2133908Compassionate Medical Care PLLC1776 Boston Rd - Ste 1B, Bronx, NY 10460Certificate of waiverJul 20, 2027

National Provider Directory

National Provider Directory

Locations

481 Main St
Ste 501
New Rochelle, NY 10801
Phone (914) 278-9567

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHBGBD

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1174900948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 LOCKWOOD AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014811",
            "telephone_number": "718-618-0618",
            "fax_number": "212-504-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 BOSTON RD # STORE1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104605076",
            "telephone_number": "718-618-0618",
            "fax_number": "212-504-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "SIMO",
        "authorized_official_first_name": "ROSMERY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "352-727-0778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "224708-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.