Individual provider Active NPI

Ernest D Simela, MD

  • Pediatrics Physician
  • Hempstead, NY
National Provider Identifier
1689759623
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
145725 Issued in NY
Practice address
680 Fulton Avenue
Hempstead, NY 11550
Phone
(516) 486-2669
Fax
(516) 486-5539
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 145725 NY Primary

Addresses

Primary practice location

680 Fulton Avenue
Hempstead, NY 11550

Mailing address

680 Fulton Avenue
Hempstead, NY 11550
Phone (516) 486-2669

Other identifiers 1

IdentifierTypeStateIssuer
00585240MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110314000252 NY Practitioner - Pediatric Medicine 1951583871 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Health Care Long Island Current Accepting new patients
Harmony Health Care Long Island CurrentSince Oct 30, 2018 Accepting new patients
Simela Medical Arts PC Pediatrics PastSince May 26, 2018 Accepting new patients
Peninsula Medical Services PC Pediatrics Past Accepting new patients
Elmont Community Health Center Past Accepting new patients

Locations

135 Main St
Hempstead, NY 11550
Phone (516) 292-3111

380 Nassau Rd
Roosevelt, NY 11575
Phone (516) 571-8200

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: ernest.simela@lifqhc.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689759623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 FULTON AVENUE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "11550",
            "telephone_number": "516-486-2669",
            "fax_number": "516-486-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 FULTON AVENUE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "11550",
            "telephone_number": "516-486-2669",
            "fax_number": "516-486-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMELA",
        "first_name": "ERNEST",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "145725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00585240",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

Verify at the official NPI Registry.