Individual provider Active NPI

Shamima Akter Somi, MD

  • Medical Toxicology (Preventive Medicine) Physician
  • Bronx, NY
National Provider Identifier
1285259275
Registry record updated Jun 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Toxicology (Preventive Medicine) PhysicianTaxonomy code 2083T0002X
License
P105266 Issued in NY
Practice address
2975 Independence Ave
Bronx, NY 10463-4620
Phone
(718) 548-1700
NPI assigned
Jun 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P105266 NY
Medical Toxicology (Preventive Medicine) Physician 2083T0002X P105266 NY Primary

Addresses

Primary practice location

2975 Independence Ave
Bronx, NY 10463-4620

Mailing address

4701 Lakeland Dr Apt 32E
Flowood, MS 39232-9786
Phone (347) 261-6662

Other practice location 1

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230202002998 MS Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4688086341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P105266NYMDMedical Toxicology (Preventive Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656201600000",
    "number": "1285259275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 LAKELAND DR APT 32E",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329786",
            "telephone_number": "347-261-6662",
            "fax_number": "347-835-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 INDEPENDENCE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634620",
            "telephone_number": "718-548-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-984-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOMI",
        "first_name": "SHAMIMA",
        "middle_name": "AKTER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2022-06-26",
        "certification_date": "2022-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P105266",
            "primary": false
        },
        {
            "code": "2083T0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Medical Toxicology",
            "state": "NY",
            "license": "P105266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.