Active NPI
Simon F Medical Services PC
- Family Medicine Physician
- East Mayesville,, SC
National Provider Identifier
1437975927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SIMON F MEDICAL SERVICES PC
- Practice address
- 37 N. Main Street
East Mayesville,, SC 29104 - Phone
- (212) 734-6621
- NPI assigned
- Nov 29, 2024
- Last updated
- Nov 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Simon Fensterszaub
- Title
- Owner
- Phone
- (212) 734-6621
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
37 N. Main Street
East Mayesville,, SC 29104
Mailing address
831 Bedford Ave # 530
Brooklyn, NY 11205-2801
National Provider Directory
National Provider Directory- Tax ID family
- Simon F Medical Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1780233569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732838400000",
"number": "1437975927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 BEDFORD AVE # 530",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112052801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 N. MAIN STREET",
"city": "EAST MAYESVILLE,",
"state": "SC",
"postal_code": "29104",
"telephone_number": "212-734-6621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMON F MEDICAL SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-29",
"last_updated": "2024-11-29",
"certification_date": "2024-11-26",
"status": "A",
"authorized_official_last_name": "FENSTERSZAUB",
"authorized_official_first_name": "SIMON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-734-6621"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.