Nina Amelio-Simulcik, D.O.
Individual provider Active NPI Obstetrics & Gynecology Physician · Mineola, NY
NPI 1487940987 · NPPES record last updated Aug 9, 2021
Key facts
- NPI
- 1487940987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 20A14303 (CA)
- Practice address
- 259 1St St
Mineola, NY 11501-3957 - Phone
- (516) 663-3010
- NPI assigned
- Jun 22, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Touro Un Col of Osteopathic Medicine, New York, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- New York University
Practice addresses (Care Compare)
120 Mineola Blvd
Suite 100
Mineola, NY 11501-4077
Phone (516) 663-3010
Hospital & facility affiliations
- NYU Langone Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151109002125 | CA | Practitioner - Obstetrics/Gynecology | 6305156084 | Reassigns benefits to 2 organizations |
| I20210810001314 | NY | Practitioner - Obstetrics/Gynecology | 6305156084 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14303 | CA | MD | Acupuncturist |
| 20A14303 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current |
Accepting new patients | |
| Obhg California, P.C. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Emergency and Acute Care Medical Corporation | Current |
Accepting new patients | |
| New York University | Obstetrics & Gynecology | Current |
Accepting new patients |
| NYU Langone Hospitals | Past | Accepting new patients |
Locations
23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
1555 Soquel Dr
Santa Cruz, CA 95065
Phone (831) 462-7700
340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064
120 Mineola Blvd
Ste 100
Mineola, NY 11501
Phone (516) 663-2010
259 1st St
Mineola, NY 11501
Phone (516) 576-1820
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
70 E Sunrise Hwy
Ste 515
Valley Stream, NY 11581
Phone (516) 536-5656
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- nameliosimulcik456914@nyumc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 20A14303 | CA | Yes |
Addresses
Primary practice location
259 1St St
Mineola, NY 11501-3957
Mailing address
PO Box 480
Salinas, CA 93902-0480
Phone (831) 624-3579
Other practice location 1
23845 Holman Hwy
227
Monterey, CA 93940-5900
Phone (831) 624-3579
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nameliosimulcik456914@nyumc.direct-ci.com |
Other providers in Mineola, NY
- Rori Megan Alter
- Carly Alterman
- Amy Altmann
- Anthony Amador
- Ambi Medical Associates, PC
- Melissa Amendoeira
- American Medical Equiptment & Supplies Inc
- Lev Aminov
- Ananda & Poulose Medical
- Anupama Ananda
All providers in Mineola, NY · Obstetrics & Gynecology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.