Active NPI
Juan Simon Afif, M.D.
- Gynecology Physician
- Bronx, NY
National Provider Identifier
1427042795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 123469
- Practice address
- 1214 Pelham Pkwy S
Bronx, NY 10461-1029 - Phone
- (718) 824-2200
- Fax
- (718) 824-0849
- NPI assigned
- Sep 1, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 123469 | NY | Primary |
Addresses
Primary practice location
1214 Pelham Pkwy S
Bronx, NY 10461-1029
Mailing address
1214 Pelham Pkwy S
Bronx, NY 10461-1029
Phone (718) 824-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00232260 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123469 | NY | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279756800000",
"number": "1427042795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 PELHAM PKWY S",
"city": "BRONX",
"state": "NY",
"postal_code": "104611029",
"telephone_number": "718-824-2200",
"fax_number": "718-824-0849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 PELHAM PKWY S",
"city": "BRONX",
"state": "NY",
"postal_code": "104611029",
"telephone_number": "718-824-2200",
"fax_number": "718-824-0849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFIF",
"first_name": "JUAN",
"middle_name": "SIMON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-01",
"last_updated": "2010-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NY",
"license": "123469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00232260",
"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 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.