Simon Smith, D.O.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

280333 Issued in NY

Practice address

115 E 57TH St Ste 1240
New York, NY 10022-2111

Phone

(212) 319-3977

Fax

(212) 319-4263

NPI assigned

Oct 2, 2012

Last updated

Aug 11, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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 2

Specialty

Cardiovascular Disease (Cardiology)Also: Vascular Surgery

Education

Lake Erie College of Osteopathic Medicine, Erie, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

One Oak Medical Group LLCGroup PAC ID 9931467941, 23 clinicians

Quantum Medical Diagnostix PLLCGroup PAC ID 8729514484, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/8a279096-6ad2-4c68-ac31-bf88e291604e/

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.

• Quantum Medical Diagnostix PLLC

  • Cardiovascular Disease Physician
  • Great Neck, NY
  • NPI 1437970530
  Medicare reassignment Care Compare group NPD Authorized official
• One Oak Medical Group, LLC

  • Orthopaedic Surgery Physician
  • Wayne, NJ
  • NPI 1669997359
  Medicare reassignment Care Compare group NPD
• Medalliance Medical Health Services Inc

  • Clinic/Center
  • Bronx, NY
  • NPI 1558356741
  Medicare reassignment NPD
• Omni Medical of Ny, PC

  dba Omny

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1487023768
  Medicare reassignment NPD
• One Oak Medical Group, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Iselin, NJ
  • NPI 1003429036
  NPD

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1740532613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST STE 1240",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222111",
            "telephone_number": "212-319-3977",
            "fax_number": "212-319-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST STE 1240",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222111",
            "telephone_number": "212-319-3977",
            "fax_number": "212-319-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-02",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MBO9700",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OSO15878",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "280333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanee S Smith, LMSW
• Sharon Smith, MD
• Shea Elizabeth Smith, LCSW
• Shekinah Smith
• Silas Wheelock Smith
• Siri R Smith, DC
• Stacyann S Smith, NP
• Stephanie Jean Smith, OTR/L
• Stevan A Smith, DMD
• Steven D Smith, M.D.

• Cardiovascular Disease Physician in New York, NY
• Providers in New York, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.

Verify at the official NPI Registry.