Individual provider Active NPI

Robert M Simon, MD

  • Physical Medicine & Rehabilitation Physician
  • Larchmont, NY
National Provider Identifier
1851365449
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
163710 Issued in NY
Practice address
6 Highridge Rd
Larchmont, NY 10538-1409
Phone
(917) 853-2232
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 163710 NY
Physical Medicine & Rehabilitation Physician 208100000X 035038 CT
Physical Medicine & Rehabilitation Physician 208100000X 163710 NY Primary

Addresses

Primary practice location

6 Highridge Rd
Larchmont, NY 10538-1409

Mailing address

6 Highridge Rd
Larchmont, NY 10538-1409
Phone (917) 853-2232

Other identifiers 2

IdentifierTypeStateIssuer
133884168OtherNY1199
01644751/02338970MedicaidNY

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
I20040713000019 NY Practitioner - Physical Medicine and Rehabilitation 8921086299 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York Medical College, 1984
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059
  • Burke Rehabilitation Hospital Inpatient rehabilitation facility, White Plains, NY, CCN 333030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035038CTMDPhysical Medicine & Rehabilitation Physician
163710NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan-Chelsea Clinton Community Health Center CurrentSince Feb 22, 2016 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Feb 22, 2016 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Feb 22, 2016 Accepting new patients
National Health Rehabilitation LLC Physical Medicine & Rehabilitation CurrentSince Apr 21, 2020 Accepting new patients
BRMC Medical PLLC CurrentSince Jan 1, 2014 Accepting new patients
Montefiore Medical Center CurrentSince Mar 4, 2021 Accepting new patients
Montefiore Medical Center Physical Medicine & Rehabilitation CurrentSince Mar 4, 2021 Accepting new patients
LHHN Medical, P.C. Past Accepting new patients
University Orthopaedics, PC Past Accepting new patients
Healthcare First Medical, P.C. Physical Medicine & Rehabilitation Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1250 Waters Pl
Bronx, NY 10461
Phone (718) 409-9444

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1262 Boston Rd
Bronx, NY 10456
Phone (718) 569-7929

392 Bedford Park Blvd
Bronx, NY 10458
Phone (718) 364-0100

141 S Central Ave
Hartsdale, NY 10530
Phone (914) 761-4030

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

645 10th Ave
New York, NY 10036
Phone (212) 265-4500

32 Cedar Ln
Ossining, NY 10562
Phone (914) 762-1600

Networks

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

Interoperability endpoints

  • Direct secure messaging: robsimon@montefioredirect.com

Organizations & group practices 10

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 2

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1851365449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HIGHRIDGE RD",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105381409",
            "telephone_number": "917-853-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HIGHRIDGE RD",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105381409",
            "telephone_number": "917-853-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NY",
            "license": "163710",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "035038",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "163710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199",
            "identifier": "133884168",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01644751/02338970",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Larchmont, NY

Sources for this page

Verify at the official NPI Registry.