Organization Active NPI

Sim Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1467704361
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
221943 Issued in NY
Legal business name
SIM MEDICAL PC
Practice address
2390 McDonald Ave
Brooklyn, NY 11223-4740
Phone
(718) 449-1005
Fax
(718) 449-1131
NPI assigned
Oct 3, 2012
Last updated
Oct 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Ilya M Smuglin, MD
Title
President
Phone
(718) 449-1005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 221943 NY Primary

Addresses

Primary practice location

2390 McDonald Ave
Brooklyn, NY 11223-4740

Mailing address

2390 McDonald Ave
Brooklyn, NY 11223-4740
Phone (718) 449-1005

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1467704361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234740",
            "telephone_number": "718-449-1005",
            "fax_number": "718-449-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234740",
            "telephone_number": "718-449-1005",
            "fax_number": "718-449-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIM MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "SMUGLIN",
        "authorized_official_first_name": "ILYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-449-1005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221943",
            "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 Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.