Simply Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

253792 Issued in NY

Legal business name

SIMPLY DERMATOLOGY PLLC

Practice address

900 Walt Whitman Rd Ste 101
Melville, NY 11747-2215

Phone

(631) 377-7222

Fax

(631) 621-5021

NPI assigned

Oct 2, 2017

Last updated

Feb 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kaleroy Papantoniou, MDNPI 1699919969

Title

Medical Director

Phone

(631) 377-7222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00263

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kaleroy Papantoniou, M.D.

  • Dermatology Physician
  • Melville, NY
  • NPI 1699919969
  Medicare reassignment Care Compare group NPD Authorized official
• Angela Cusumano, PA

  • Physician Assistant
  • Astoria, NY
  • NPI 1376988154
  Medicare reassignment Care Compare group
• Despina Psyllis

  • Physician Assistant
  • Bellmore, NY
  • NPI 1295372100
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1699285874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WALT WHITMAN RD STE 101",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472215",
            "telephone_number": "631-377-7222",
            "fax_number": "631-621-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WALT WHITMAN RD STE 101",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472215",
            "telephone_number": "631-377-7222",
            "fax_number": "631-621-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "PAPANTONIOU",
        "authorized_official_first_name": "KALEROY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "631-377-7222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "253792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Ann Simek, RN
• Samuel Jean Similca
• Jasmine Simon
• Sammara Arryn Simon
• Sara Catalina Simone
• Sharika Sims-Rosado
• Miranda Sinauridze
• Erica Jane Singer, RPA-C
• Alejandra Singh-Lopez
• Nimisha Singh

• Dermatology Physician in Melville, NY
• Providers in Melville, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.