Active NPI
Simone Senior
- Specialist
- Glen Oaks, NY
National Provider Identifier
1811399181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 891202
- Practice address
- 7058 260TH St
Glen Oaks, NY 11004-1111 - Phone
- (718) 413-6024
- NPI assigned
- Sep 18, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 891202 | NY | Primary |
Addresses
Primary practice location
7058 260TH St
Glen Oaks, NY 11004-1111
Mailing address
70-58 260TH Street
Glen Oaks, NY 11004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 891202 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410998400000",
"number": "1811399181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70-58 260TH STREET",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "11004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7058 260TH ST",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "110041111",
"telephone_number": "718-413-6024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENIOR",
"first_name": "SIMONE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-18",
"last_updated": "2014-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "891202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Oaks, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.