Active NPI
Sandra Simon
- Specialist
- Bronx, NY
National Provider Identifier
1417019837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 2150 White Plains Rd
Bronx, NY 10462-1406 - Phone
- (718) 892-6300
- Fax
- (718) 892-3107
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | NY | Primary |
Addresses
Primary practice location
2150 White Plains Rd
Bronx, NY 10462-1406
Mailing address
2150 White Plains Rd
Bronx, NY 10462-1406
Phone (718) 892-6300
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131708249-001 | Other | NY | HEALTH FIRST |
| 329 | Other | NY | MONTE |
| 01055150 | Medicaid | NY | |
| 040401001680 | Other | NY | CENTER CARE |
| 263784 | Other | NY | HEALTHNET |
| 47173000 | Other | NY | BRONX HEALTH PLAN |
| ANC 1649 | Other | NY | OXFORD |
| G70211 | Other | NY | EMPIRE BLUE CROSS SHIELD |
| 557052 | Other | NY | AETNA |
| H6549 | Other | NY | HOMELINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frishman's | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Bronx, NY
- NPI 1871777433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1417019837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 WHITE PLAINS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104621406",
"telephone_number": "718-892-6300",
"fax_number": "718-892-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 WHITE PLAINS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104621406",
"telephone_number": "718-892-6300",
"fax_number": "718-892-3107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "SANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST",
"identifier": "131708249-001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MONTE",
"identifier": "329",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01055150",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CENTER CARE",
"identifier": "040401001680",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "263784",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRONX HEALTH PLAN",
"identifier": "47173000",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "ANC 1649",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS SHIELD",
"identifier": "G70211",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "557052",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOMELINK",
"identifier": "H6549",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.