Organization Active NPI

Simon Faynzilbergmd PC

  • Ambulatory Surgical Clinic/Center
  • Brookline, MA
National Provider Identifier
1316184005
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
160820 Issued in MA
Legal business name
SIMON FAYNZILBERGMD PC
Practice address
157 Winthrop Rd Unit 2
Brookline, MA 02445-4642
Phone
(617) 817-2070
Fax
(617) 232-0515
NPI assigned
Jan 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
Dr. Simon FaynzilbergNPI 1417956418
Title
President
Phone
(617) 817-2070

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 160820 MA Primary
Medical Specialty Clinic/Center 261QM2500X 160820 MA
Pain Clinic/Center 261QP3300X 160820 MA

Addresses

Primary practice location

157 Winthrop Rd Unit 2
Brookline, MA 02445-4642

Mailing address

157 Winthrop Rd Unit 2
Brookline, MA 02445-4642
Phone (617) 817-2070

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1316184005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 WINTHROP RD UNIT 2",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024454642",
            "telephone_number": "617-817-2070",
            "fax_number": "617-232-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 WINTHROP RD UNIT 2",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024454642",
            "telephone_number": "617-817-2070",
            "fax_number": "617-232-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON FAYNZILBERGMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "FAYNZILBERG",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-817-2070",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MA",
            "license": "160820",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MA",
            "license": "160820",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "MA",
            "license": "160820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.