Active NPI
Simon G Kassabian, MD
- Geriatric Medicine (Internal Medicine) Physician
- Montrose, NY
National Provider Identifier
1326197823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 174963
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174963-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Jewish Home & Hospital for Aged | Past | Accepting new patients | |
| Jewish Home Lifecare, Manhattan | Past | Accepting new patients | |
| Jewish Home Lifecare, Manhattan | Geriatric Medicine | Past | Accepting new patients |
| Jewish Home Lifecare, Manhattan | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Adult Day Care Clinic/Center
- Bronx, NY
- NPI 1104373133
-
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
- NPI 1639244742
-
- Skilled Nursing Facility
- New York, NY
- NPI 1811062920
-
- Non-emergency Medical Transport (VAN)
- New York, NY
- NPI 1689749095
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.