Individual provider Active NPI

Chang Uk Sim, DPM

  • Podiatrist
  • New York, NY
National Provider Identifier
1821134842
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N006200 Issued in NY
Practice address
656 W 183Rd St
New York, NY 10033-3806
Phone
(212) 795-2261
Fax
(212) 795-2671
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N006200 NY Primary

Addresses

Primary practice location

656 W 183Rd St
New York, NY 10033-3806

Mailing address

2716 Crescent St
Astoria, NY 11102-3143
Phone (347) 563-2975

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080613000353 NY Practitioner - Podiatry 9234200544 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 Wadsworth Ave
Suite 1
New York, NY 10033-3862
Phone (917) 472-7520

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue409
Removal or shaving of skin growth375
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006200NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Uptown Healthcare Management, Inc. CurrentSince Oct 2, 2018 Accepting new patients
Uptown Healthcare Management Inc. Podiatrist CurrentSince Oct 2, 2018 Accepting new patients
Uptown Healthcare Management Inc Podiatrist CurrentSince Oct 2, 2018 Accepting new patients

Locations

930 E Tremont Ave
Fl 3
Bronx, NY 10460
Phone (718) 620-6068

930 E Tremont Ave
Bronx, NY 10460
Phone (718) 764-1660

1778 Jerome Ave
Bronx, NY 10453
Phone (718) 583-3300

4470 Broadway
#4
New York, NY 10040
Phone (212) 569-7144

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1821134842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 CRESCENT ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023143",
            "telephone_number": "347-563-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 W 183RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333806",
            "telephone_number": "212-795-2261",
            "fax_number": "212-795-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIM",
        "first_name": "CHANG",
        "middle_name": "UK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.