Organization Active NPI

Peter T. Simonson, M.D., P.L.L.C.

  • Specialist
  • Suffern, NY
National Provider Identifier
1851448880
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
176473 Issued in NY
Legal business name
PETER T. SIMONSON, M.D., P.L.L.C.
Practice address
257 Lafayette Ave Ste 120
Suffern, NY 10901-4832
Phone
(845) 369-9100
Fax
(845) 369-6738
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Dr. Peter T. Simonson, MDNPI 1811973258
Title
Doctor
Phone
(845) 369-9100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 176473 NY Primary

Addresses

Primary practice location

257 Lafayette Ave Ste 120
Suffern, NY 10901-4832

Mailing address

257 Lafayette Ave Ste 120
Suffern, NY 10901-4832
Phone (845) 369-9100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040626000166 NY Part B Supplier - Clinic/Group Practice 6800872201 Receives reassigned benefits from 1 practitioner
Practice locations: Suffern, NY

National Provider Directory

National Provider Directory

Locations

222 Route 59
Ste 108
Suffern, NY 10901
Phone (845) 357-7277

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1851448880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 LAFAYETTE AVE STE 120",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014832",
            "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 AVE STE 120",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014832",
            "telephone_number": "845-369-9100",
            "fax_number": "845-369-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER T. SIMONSON, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "SIMONSON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "845-369-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "176473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.