Active NPI
Simon F Medical Services PC
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1780233569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SIMON F MEDICAL SERVICES PC
- Practice address
- 250 Skillman St Ste 204
Brooklyn, NY 11205-1218 - Phone
- (718) 964-6161
- NPI assigned
- Sep 5, 2019
- Last updated
- Feb 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brooke Lichtenstein
- Title
- MD
- Phone
- (212) 734-6621
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
250 Skillman St Ste 204
Brooklyn, NY 11205-1218
Mailing address
250 Skillman St Ste 204
Brooklyn, NY 11205-1218
Phone (212) 734-6621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, SC
Enrollment records 2
National Provider Directory
National Provider Directory- Tax ID family
- Simon F Medical Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- East Mayesville,, SC
- NPI 1437975927
Locations
104 W 145th St
New York, NY 10039
Practitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676419200000",
"number": "1780233569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 SKILLMAN ST STE 204",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112051218",
"telephone_number": "212-734-6621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 SKILLMAN ST STE 204",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112051218",
"telephone_number": "718-964-6161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMON F MEDICAL SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-05",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A",
"authorized_official_last_name": "LICHTENSTEIN",
"authorized_official_first_name": "BROOKE",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "212-734-6621"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.