Active NPI
Lawrence F. Simon, M.D.
- Surgery Physician
- West Nyack, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 096815-1
- Practice address
- 1Crosfield Ave
Suite 105
West Nyack, NY 10994 - Phone
- (845) 535-3362
- Fax
- (845) 535-3368
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 096815-1 | NY | Primary |
Addresses
Primary practice location
1Crosfield Ave
Suite 105
West Nyack, NY 10994
Mailing address
1 Crosfield Ave
Suite 105
West Nyack, NY 10994-2222
Phone (845) 535-3362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00496373 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- State University of Ny Upstate Medical University, 1965
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
160 N Midland Ave
Nyack, NY 10960-1912
Phone (845) 480-7440
41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-1201
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 106 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096815-1 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Plains Medical Diagnostic Services, PC | Surgery | Current | Accepting new patients |
Locations
160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000
97 Route 303
Tappan, NY 10983
Phone (845) 348-2198
1 Crosfield Ave
Ste 105
West Nyack, NY 10994
Phone (845) 535-3362
41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Nyack, NY
- NPI 1689955338
Surgery
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nyack, NY
- NPI 1104808062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1710045281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CROSFIELD AVE",
"address_2": "SUITE 105",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109942222",
"telephone_number": "845-535-3362",
"fax_number": "845-535-3368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1CROSFIELD AVE",
"address_2": "SUITE 105",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "10994",
"telephone_number": "845-535-3362",
"fax_number": "845-535-3368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "LAWRENCE",
"middle_name": "F.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "096815-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00496373",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.