Organization Active NPI

Jaime Simon

  • Medical Specialty Clinic/Center
  • East Meadow, NY
National Provider Identifier
1467862029
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
274300 Issued in NY
Legal business name
JAIME SIMON
Practice address
30 Newbridge Rd
Suite 200
East Meadow, NY 11554-2150
Phone
(516) 745-0303
Fax
(516) 745-0588
NPI assigned
May 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
Jaime Simon, MD
Title
Physician
Phone
(516) 745-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 274300 NY Primary

Addresses

Primary practice location

30 Newbridge Rd
Suite 200
East Meadow, NY 11554-2150

Mailing address

30 Newbridge Rd
Suite 200
East Meadow, NY 11554-2150
Phone (516) 745-0303

National Provider Directory

National Provider Directory

Locations

30 Newbridge Rd
Ste 200
East Meadow, NY 11554
Phone (516) 745-0303

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1467862029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NEWBRIDGE RD",
            "address_2": "SUITE 200",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542150",
            "telephone_number": "516-745-0303",
            "fax_number": "516-745-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NEWBRIDGE RD",
            "address_2": "SUITE 200",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542150",
            "telephone_number": "516-745-0303",
            "fax_number": "516-745-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME SIMON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-745-0303",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "274300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.