Lidia Simeonova Simeonova, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02291800 Issued in NJ

Practice address

409 76TH St
Apt 1
North Bergen, NJ 07047-5503

Phone

(201) 936-7300

Fax

(212) 995-4843

NPI assigned

Jul 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1336347517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 76TH ST",
            "address_2": "APT 1",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475503",
            "telephone_number": "201-936-7300",
            "fax_number": "212-995-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 76TH ST",
            "address_2": "APT 1",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475503",
            "telephone_number": "201-936-7300",
            "fax_number": "212-995-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMEONOVA",
        "first_name": "LIDIA",
        "middle_name": "SIMEONOVA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02291800",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02291801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Higino Daniel Silva
• Katia Silva
• Silver Star Healthcare LLC
• Isabel Cristina Silverio-Gomez, DMD
• Simcha Weissman DO LLC
• Elizabeth Simon, D.O.
• Samundar Singh, MD
• Surji Diana Singh, RD
• Smrita Sinha, M.D.
• Ivana Skopelja, DNP, APN

• General Practice Dentistry in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.