Organization Active NPI

Simon Sanchez, Physician, PC

  • Neurology Physician
  • Bay Shore, NY
National Provider Identifier
1639369945
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SIMON SANCHEZ, PHYSICIAN, PC
Practice address
1991 Union Blvd
Bay Shore, NY 11706-7936
Phone
(631) 969-9515
Fax
(631) 969-9517
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Dr. Simon Sanchez, MD
Title
President
Phone
(631) 969-9515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1991 Union Blvd
Bay Shore, NY 11706-7936

Mailing address

1991 Union Blvd
Bay Shore, NY 11706-7936
Phone (631) 969-9515

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1639369945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 UNION BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067936",
            "telephone_number": "631-969-9515",
            "fax_number": "631-969-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 UNION BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067936",
            "telephone_number": "631-969-9515",
            "fax_number": "631-969-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON SANCHEZ, PHYSICIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-969-9515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.