Magda A De Simone, R.P.A.-C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

006407-1 Issued in NY

Practice address

28 Rykowski LN
Dermatology Center at Crystal Run
Middletown, NY 10941-4018

Phone

(845) 692-3376

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

99.15 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1790998680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223",
            "city": "SUGAR LOAF",
            "state": "NY",
            "postal_code": "109810223",
            "telephone_number": "917-301-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 RYKOWSKI LN",
            "address_2": "DERMATOLOGY CENTER AT CRYSTAL RUN",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414018",
            "telephone_number": "845-692-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SIMONE",
        "first_name": "MAGDA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "R.P.A.-C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006407-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha A Dawson, RN
• Richard Caruthers Day, MD
• Carlos Ernesto De Cabrera, ARNP
• Christian De Elia, DO
• Felix De la Cruz
• De Trinity Community Living Corp
• De Trinity Community Living Corp
• De Trinity Community Living Corp
• De Trinity Community Living Corp.
• De Trinity Community Living Corp.

• Physician Assistant in Middletown, NY
• Providers in Middletown, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.