Organization Active NPI

Neal Simkovic MD PC

  • Ophthalmology Physician
  • Forest Hills, NY
National Provider Identifier
1821145160
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NEAL SIMKOVIC MD PC
Practice address
11821 Queens Blvd
Suite 405
Forest Hills, NY 11375-7201
Phone
(718) 263-6661
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Neal Simkovic, M.D.NPI 1942208483
Title
President
Phone
(718) 263-6661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

11821 Queens Blvd
Suite 405
Forest Hills, NY 11375-7201

Mailing address

PO Box 220389
Great Neck, NY 11022-0389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050124001038 NY Part B Supplier - Clinic/Group Practice 8426948340 Receives reassigned benefits from 2 practitioners
Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory

Locations

1 Elmont Rd
Elmont, NY 11003
Phone (519) 829-4762

11821 Queens Blvd
Ste 405
Forest Hills, NY 11375
Phone (718) 263-6661

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1821145160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220389",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110220389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11821 QUEENS BLVD",
            "address_2": "SUITE 405",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757201",
            "telephone_number": "718-263-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL SIMKOVIC MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "SIMKOVIC",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-263-6661",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.

Verify at the official NPI Registry.