Active NPI
Toby L Simon, MD
- Blood Banking & Transfusion Medicine Physician
- Boca Raton, FL
National Provider Identifier
1528084571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Blood Banking & Transfusion Medicine Physician
- License
- ME97808
- Practice address
- 900 Broken Sound Pkwy
Ste 400
Boca Raton, FL 33487-3513 - Phone
- (561) 859-9315
- Fax
- (610) 290-9104
- NPI assigned
- Jul 14, 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 |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | ME97808 | FL | Primary |
Addresses
Primary practice location
900 Broken Sound Pkwy
Ste 400
Boca Raton, FL 33487-3513
Mailing address
900 Broken Sound Pkwy
Ste 400
Boca Raton, FL 33487-3513
Phone (561) 859-9315
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93353758 | Medicaid | CO | |
| 220031501 | Other | MEDICARE RR | |
| 619257 | Medicaid | AZ | |
| G6008 | Medicaid | NM | |
| NM009U29 | Other | NM | BLUE SHIELD |
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 |
|---|---|---|---|
| ME97808 | FL | MD | Blood Banking & Transfusion Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377129600000",
"number": "1528084571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 BROKEN SOUND PKWY",
"address_2": "STE 400",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334873513",
"telephone_number": "561-859-9315",
"fax_number": "610-290-9104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 BROKEN SOUND PKWY",
"address_2": "STE 400",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334873513",
"telephone_number": "561-859-9315",
"fax_number": "610-290-9104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "TOBY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2013-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "FL",
"license": "ME97808",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "93353758",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "220031501",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "619257",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G6008",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "NM009U29",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.