Active NPI
Henry Simpkins, MD
- Anatomic Pathology Physician
- Staten Island, NY
National Provider Identifier
1477541555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 162496
- Practice address
- 1 Edgewater Plaza
1St FL. Lab
Staten Island, NY 10305-4900 - Phone
- (718) 226-4133
- Fax
- (718) 226-4185
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 162496 | NY | Primary |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 162496 | NY |
Addresses
Primary practice location
1 Edgewater Plaza
1St FL. Lab
Staten Island, NY 10305-4900
Mailing address
1 Edgewater St
6TH FL. Payer Relations
Staten Island, NY 10305-4900
Phone (718) 226-1008
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 |
|---|---|---|---|
| 162496 | NY | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Staten Island University Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Methadone Clinic
- Staten Island, NY
- NPI 1700480050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270080000000",
"number": "1477541555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EDGEWATER ST",
"address_2": "6TH FL. PAYER RELATIONS",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103054900",
"telephone_number": "718-226-1008",
"fax_number": "718-226-1039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 EDGEWATER PLAZA",
"address_2": "1ST FL. LAB",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103054900",
"telephone_number": "718-226-4133",
"fax_number": "718-226-4185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPKINS",
"first_name": "HENRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2010-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "NY",
"license": "162496",
"primary": true
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "NY",
"license": "162496",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.