Simon Kotov, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

N61826 Issued in NY

Practice address

55 Meadow PL
Staten Island, NY 10306-5263

Phone

(631) 790-8613

NPI assigned

Oct 20, 2026

Last updated

Oct 20, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1792454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1235035726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MEADOW PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MEADOW PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065263",
            "telephone_number": "631-790-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTOV",
        "first_name": "SIMON",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-20",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "N61826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Peter Koss, PA-C
• Igor Kostanyan, D.D.S.
• Polena A Kostyleva, PHARMD, RPH
• Karen Kosubevsky, MS CCC-SLP
• Dmitry Kotlyar, RN
• Allison Kotsonis
• Maria Kotsonis, M.A. CCC-SLP
• Gitu Kottarathil, RN
• Carolyn Ann Kotula, LMSW
• Carolyn L Kotula

• Registered Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; 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.