Active NPI
Jay S Simoncic, MD
- Orthopaedic Surgery Physician
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 210234
- Practice address
- 833 Northern Blvd
Suite 220
Great Neck, NY 11201-5308 - Phone
- (516) 622-7980
- Fax
- (516) 498-9385
- NPI assigned
- Aug 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 210234 | NY | Primary |
Addresses
Primary practice location
833 Northern Blvd
Suite 220
Great Neck, NY 11201-5308
Mailing address
PO Box 222076
Great Neck, NY 11022-2076
Phone (516) 622-7980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- State University of Ny Upstate Medical University, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Marcus Ave
New Hyde Park, NY 11042-1034
221 Jericho Tpke
Syosset, NY 11791-4515
Phone (516) 496-2752
221 Jericho Turnpike
Syosset, NY 11791-4515
Phone (516) 496-6500
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
415 Crossways Park Dr
Woodbury, NY 11797-2055
Phone (631) 470-1458
415 Crosways Park Dr W
Nassau, NY 11797-2055
Phone (855) 605-4837
833 Northern Blvd
Great Neck, NY 11021-5315
Phone (516) 622-7900
Hospital & facility affiliations
- North Shore Home Care Chha
- North Shore University Hospital
- Northwell Hospital Glen Cove
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210234 | NY | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Orthopaedic Surgery | Current | Accepting new patients |
| North Shore University Hospital | Past | Accepting new patients | |
| New York Orthopedic and Spine | Orthopaedic Surgery | Past | Accepting new patients |
Locations
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
833 Northern Blvd
Ste 220
Great Neck, NY 11021
Phone (516) 622-7900
1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242
300 Community Dr
Plandome, NY 11030
391 N Country Rd
Smithtown, NY 11787
Phone (631) 361-2020
221 Jericho Tpke
Syosset, NY 11791
Phone (516) 496-6400
972 Brush Hollow Rd
Westbury, NY 11590
415 Crossways Park Dr
Woodbury, NY 11797
Phone (516) 838-8400
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- jaysimoncic@nslijmedgr.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Orthopaedic Surgery Physician
- Great Neck, NY
- NPI 1851482905
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Cove, NY
- NPI 1295743060
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- Home Health Agency
- Manhasset, NY
- NPI 1417965278
-
- Home Health Agency
- Westbury, NY
- NPI 1861464471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497768758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 222076",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110222076",
"telephone_number": "516-622-7980",
"fax_number": "516-498-9385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 NORTHERN BLVD",
"address_2": "SUITE 220",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "112015308",
"telephone_number": "516-622-7980",
"fax_number": "516-498-9385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONCIC",
"first_name": "JAY",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "210234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.