Active NPI
Josef Shimonov, M.D.
- Internal Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 249502
- Practice address
- 1266 51St St
Brooklyn, NY 11219-3517 - Phone
- (718) 269-5151
- NPI assigned
- Aug 27, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 249502 | NY | Primary |
Addresses
Primary practice location
1266 51St St
Brooklyn, NY 11219-3517
Mailing address
11214 69TH Rd
Forest Hills, NY 11375-3922
Phone (719) 269-5151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080930000271 | NY | Practitioner - Internal Medicine | 1658448899 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
11214 69TH Rd
Forest Hills, NY 11375-3922
Phone (718) 269-5151
Hospital & facility affiliations
- Girling Health Care of New York
- Revival Home Health Care
- Maimonides Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 249502 | NY | MD | Internal Medicine Physician |
Practice roles (8 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Well Plus Medical PC | Current | Accepting new patients | |
| Medical Plaza of Boro Park PC | Internal Medicine | Current | Accepting new patients |
| L'Refuah Medical & Rehabilitation Center, Inc. | Past | Accepting new patients | |
| Maimonides Medical Center Maimonides Primary Care FPP | Internal Medicine | Past | Accepting new patients |
| Focus Medical Health PLLC | Internal Medicine | Past | Accepting new patients |
| University Physicians Group P C | Internal Medicine | Past | Accepting new patients |
| N. S. So Island Diag GRP | Past | Accepting new patients |
Locations
1616D Voorhies Ave
Brooklyn, NY 11235
Phone (718) 934-7960
1266 51st St
Brooklyn, NY 11219
Phone (347) 213-9881
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- josefshimonov@mai.allscriptsdirect.net
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1821325036
Internal Medicine, NY
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1043250491
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1578800025
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1013968593
Internal Medicine
-
- Clinical Medical Laboratory
- Rockaway Beach, NY
- NPI 1043492374
-
- General Practice Physician
- Staten Island, NY
- NPI 1104872134
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Staten Island, NY
- NPI 1841233178
-
- Home Health Agency
- Brooklyn, NY
- NPI 1568886653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1346497773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11214 69TH RD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753922",
"telephone_number": "719-269-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1266 51ST ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112193517",
"telephone_number": "718-269-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIMONOV",
"first_name": "JOSEF",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-27",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "249502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.