Individual provider Active NPI

Simi Joseph

  • Psychiatric/Mental Health Nurse Practitioner
  • Levittown, NY
National Provider Identifier
1194148296
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401662 Issued in NY
Practice address
3601 Hempstead Tpke Ste 410
Levittown, NY 11756-1377
Phone
(516) 806-4228
Fax
(843) 790-1759
NPI assigned
Jan 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401662 NY Primary

Addresses

Primary practice location

3601 Hempstead Tpke Ste 410
Levittown, NY 11756-1377

Mailing address

316 Bellmore Rd
East Meadow, NY 11554-3539
Phone (516) 806-4228

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL simijosephpc@gmail.com
Other URL office Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150914001143 NY Practitioner - Nurse Practitioner 2769799493 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3601 Hempstead Tpke
Suite LL M4
Levittown, NY 11756-1315
Phone (516) 806-4228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F401662NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Suffolk Psychiatry PC CurrentSince Aug 1, 2015 Accepting new patients

Locations

1975 Hempstead Tpke
Ste 200
East Meadow, NY 11554
Phone (516) 483-0289

1975 Hempstead Tpke
Ste 208
East Meadow, NY 11554
Phone (516) 222-2747

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1194148296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 BELLMORE RD",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115543539",
            "telephone_number": "516-806-4228",
            "fax_number": "843-790-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 HEMPSTEAD TPKE STE 410",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561377",
            "telephone_number": "516-806-4228",
            "fax_number": "843-790-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "SIMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-24",
        "last_updated": "2024-01-03",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "simijosephpc@gmail.com",
            "affiliation": "N",
            "address_1": "3601 Hempstead Tpke Ste 410",
            "city": "Levittown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117561377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "office",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3601 Hempstead Tpke Ste 410",
            "city": "Levittown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117561377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

Verify at the official NPI Registry.