Individual provider Active NPI

Peter T Simonson, MD

  • Obstetrics & Gynecology Physician
  • Suffern, NY
National Provider Identifier
1811973258
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
176473 Issued in NY
Practice address
257 Lafayette Avenue
Suite 120 Suffern Medical Pavilion
Suffern, NY 10901
Phone
(845) 369-9100
Fax
(845) 369-6738
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 176473 NY Primary

Addresses

Primary practice location

257 Lafayette Avenue
Suite 120 Suffern Medical Pavilion
Suffern, NY 10901

Mailing address

257 Lafayette Avenue
Suite 120 Suffern Medical Pavilion
Suffern, NY 10901
Phone (845) 369-9100

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
I20040625000909 NY Practitioner - Obstetrics/Gynecology 9436135985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

257 Lafayette Ave
Suite 120
Suffern, NY 10901-4812
Phone (845) 369-9100

Hospital & facility affiliations

  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158
  • Nyack Hospital Hospital, Nyack, NY, CCN 330104
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Hudson Valley Hospital Center Hospital, Cortlandt Manor, NY, CCN 330267
  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peter T. Simonson, M.D., P.L.L.C. CurrentSince Oct 29, 2003 Accepting new patients
Karadan Anesthesiology and Pain Management, LLP PastSince Nov 17, 2003 Accepting new patients

Locations

257 Lafayette Ave
Ste 120
Suffern, NY 10901
Phone (845) 369-9100

Interoperability endpoints

  • FHIR API: https://fhir.healthtogo.me/fhir/r4/criterions.simonson

Organizations & group practices 2

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1811973258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 LAFAYETTE AVENUE",
            "address_2": "SUITE 120 SUFFERN MEDICAL PAVILION",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "10901",
            "telephone_number": "845-369-9100",
            "fax_number": "845-369-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 LAFAYETTE AVENUE",
            "address_2": "SUITE 120 SUFFERN MEDICAL PAVILION",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "10901",
            "telephone_number": "845-369-9100",
            "fax_number": "845-369-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONSON",
        "first_name": "PETER",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "176473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

Verify at the official NPI Registry.