Active NPI
Renee Simmons, PA
- Physician Assistant
- Bronx, NY
National Provider Identifier
1184891947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001734
- Practice address
- 907 E Tremont Ave
Bronx, NY 10460-4301 - Phone
- (718) 589-9588
- Fax
- (718) 589-9589
- NPI assigned
- May 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001734 | NY | Primary |
Addresses
Primary practice location
907 E Tremont Ave
Bronx, NY 10460-4301
Mailing address
174 Grand St
White Plains, NY 10601-4803
Phone (914) 328-8077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001734 | NY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R.G. Medical, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Bronx, NY
- NPI 1720007891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286409600000",
"number": "1184891947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 GRAND ST",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106014803",
"telephone_number": "914-328-8077",
"fax_number": "914-328-6083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 E TREMONT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104604301",
"telephone_number": "718-589-9588",
"fax_number": "718-589-9589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "RENEE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-12",
"last_updated": "2010-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "001734",
"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 Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.