Individual provider Active NPI

Paula Sims, M.D.

  • General Practice Physician
  • Putnam Valley, NY
National Provider Identifier
1740364975
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
149811 Issued in NY
Practice address
21 Cimarron Rd
Putnam Valley, NY 10579-1807
Phone
(914) 548-2891
NPI assigned
Oct 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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
General Practice Physician 208D00000X 149811 NY Primary

Addresses

Primary practice location

21 Cimarron Rd
Putnam Valley, NY 10579-1807

Mailing address

21 Cimarron Rd
Putnam Valley, NY 10579-1807
Phone (914) 548-2891

Other identifiers 1

IdentifierTypeStateIssuer
01227678MedicaidNY

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
I20111024000085 NY Practitioner - General Practice 3678746492 Reassigns benefits to 4 organizations
Practice locations: Putnam Valley, NY

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Family Medicine, PC CurrentSince Jul 1, 2024 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Jan 27, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Jan 27, 2025 Accepting new patients
New York General Medical Services PC CurrentSince Jan 27, 2025 Accepting new patients
Cabrini of Westchester Past Accepting new patients
Excella Medicine PC Past Accepting new patients

Locations

6585 Broadway
Bronx, NY 10471
Phone (718) 549-2200

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

4241 201st St
Flushing, NY 11361
Phone (516) 599-5688

2090 Albany Post Rd
Montrose, NY 10548

17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300

1 Elsie St
Rome, NY 13440
Phone (315) 336-4435

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

36 N Broadway
Yonkers, NY 10701
Phone (914) 966-2229

Networks

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

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740364975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CIMARRON RD",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105791807",
            "telephone_number": "914-548-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CIMARRON RD",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105791807",
            "telephone_number": "914-548-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "PAULA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "149811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01227678",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam Valley, NY

Sources for this page

Verify at the official NPI Registry.