Simon Raskin DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N005608 Issued in NY

Legal business name

SIMON RASKIN DPM PC

Practice address

1409 Gravesend Neck Rd
Brooklyn, NY 11229-4322

Phone

(718) 332-7771

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Simon Raskin, DPM

Title

President

Phone

(718) 332-7771

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1609980192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 GRAVESEND NECK RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294322",
            "telephone_number": "718-332-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 GRAVESEND NECK RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294322",
            "telephone_number": "718-332-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON RASKIN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "RASKIN",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-332-7771",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02195893",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "PK5251",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Simo, LCSW
• Simon F Medical Services PC
• Simon Li Medical PLLC
• Simon Medical Call Care PC
• Simon Podiatry PLLC
• Simon Saada, M.D., P.C.
• Andrise Simon, RN
• Angela Simon
• Barbara Dolores Simon
• Beena Simon

• Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.