Nancy Simon, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

212657 Issued in NY

Practice address

216 E 99TH St
New York, NY 10029-6808

Phone

(646) 536-5500

Fax

(646) 536-5514

NPI assigned

Mar 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Premier Healthcare, Inc.

  • Developmental Disabilities Clinic/Center
  • New York, NY
  • NPI 1760436190
  Medicare reassignment NPD
• Premier Healthcare, Inc.

  • Developmental Disabilities Clinic/Center
  • New York, NY
  • NPI 1831330182
  NPD
• Lichfpp Physicians

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1184670556

  Internal Medicine

  NPD (past)
• Medicine Associates at Lich

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1487601381
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1629039474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E 99TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296808",
            "telephone_number": "646-536-5500",
            "fax_number": "646-536-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E 99TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296808",
            "telephone_number": "646-536-5500",
            "fax_number": "646-536-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "NANCY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "212657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02236304",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Rae Simon, NP
• Mark Simon
• Matthew Spector Simon, MD
• Melanie Alyse Simon, MSPT
• Mineve Simon, NURSING
• Natalie Brooke Simon
• Netanya Simon
• Nicole Simon, PA
• Rachael J Simon, LMSW
• Rachel Elizabeth Simon, M.D.

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.