Individual provider Active NPI

Simon G Kassabian, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Montrose, NY
National Provider Identifier
1326197823
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
174963 Issued in NY
Practice address
2094 Albany Post Road
VA Hudson Valley Health Care System
Montrose, NY 10548
Phone
(914) 737-4400
Fax
(914) 788-4320
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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 174963-1 NY
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 174963 NY Primary

Addresses

Primary practice location

2094 Albany Post Road
VA Hudson Valley Health Care System
Montrose, NY 10548

Mailing address

2094 Albany Post Road
VA Hudson Valley Health Care System
Montrose, NY 10548
Phone (914) 737-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
174963-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Jewish Home & Hospital for Aged PastSince Jan 1, 1992 Accepting new patients
Jewish Home Lifecare, Manhattan PastSince Jan 1, 1992 Accepting new patients
Jewish Home Lifecare, Manhattan Geriatric Medicine PastSince Jan 1, 1992 Accepting new patients
Jewish Home Lifecare, Manhattan PastSince Jan 1, 1992 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: skassabian@hiemail.healtheconnections.org

Organizations & group practices 4

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1326197823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2094 ALBANY POST ROAD",
            "address_2": "VA HUDSON VALLEY HEALTH CARE SYSTEM",
            "city": "MONTROSE",
            "state": "NY",
            "postal_code": "10548",
            "telephone_number": "914-737-4400",
            "fax_number": "914-788-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 ALBANY POST ROAD",
            "address_2": "VA HUDSON VALLEY HEALTH CARE SYSTEM",
            "city": "MONTROSE",
            "state": "NY",
            "postal_code": "10548",
            "telephone_number": "914-737-4400",
            "fax_number": "914-788-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSABIAN",
        "first_name": "SIMON",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "174963-1",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "174963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, NY

Sources for this page

Verify at the official NPI Registry.