Individual provider Active NPI

Josef Shimonov, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1346497773
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
249502 Issued in NY
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

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080930000271 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1658448899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric 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 Home health agency, Brooklyn, NY, CCN 337243
  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249502NYMDInternal Medicine Physician

Practice roles (8 of 12)

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Well Plus Medical PC CurrentSince Aug 1, 2008 Accepting new patients
Medical Plaza of Boro Park PC Internal Medicine CurrentSince Dec 23, 2009 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 PastSince Aug 1, 2008 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.