Simon Saada, M.D., P.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

129761 Issued in NY

Legal business name

SIMON SAADA, M.D., P.C.

Practice address

705 86 Street
Simon Saada, M.D., P.C.
Brooklyn, NY 11228-3220

Phone

(718) 238-1075

Fax

(718) 238-1174

NPI assigned

Nov 20, 2012

Organization subpart

No

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

Authorized official

Name

Simon Saada, M.D.NPI 1063583730

Title

M.D.

Phone

(718) 238-1075

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Simon Saada, MD

  • Urology Physician
  • Brooklyn, NY
  • NPI 1063583730
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1467796094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 86 STREET",
            "address_2": "SIMON SAADA, M.D., P.C.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283220",
            "telephone_number": "718-238-1075",
            "fax_number": "718-238-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 86 STREET",
            "address_2": "SIMON SAADA, M.D., P.C.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283220",
            "telephone_number": "718-238-1075",
            "fax_number": "718-238-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON SAADA, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "SAADA",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "718-238-1075",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": "129761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00409352",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "A100080283",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simon F Medical Services PC
• Simon Li Medical PLLC
• Simon Medical Call Care PC
• Simon Podiatry PLLC
• Simon Raskin DPM PC
• Andrise Simon, RN
• Angela Simon
• Barbara Dolores Simon
• Beena Simon
• Carline Simon

• Urology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.