Organization Active NPI

Nova Antoinette Simister-Irving LCSW PC

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1851977193
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NOVA ANTOINETTE SIMISTER-IRVING LCSW PC
Practice address
730 E 232ND St Apt 3a
Bronx, NY 10466-4115
Phone
(914) 316-1914
NPI assigned
Mar 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Nova Antoinette Simister, LCSW
Title
Owner
Phone
(914) 316-1914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

730 E 232ND St Apt 3a
Bronx, NY 10466-4115

Mailing address

PO Box 351
Poughquag, NY 12570-0351
Phone (914) 316-1914

Other identifiers 1

IdentifierTypeStateIssuer
1346679198OtherNYTIN

Other names 1

  • NOVA SIMISTER LCSW, P.C. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1851977193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "POUGHQUAG",
            "state": "NY",
            "postal_code": "125700351",
            "telephone_number": "914-316-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 E 232ND ST APT 3A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664115",
            "telephone_number": "914-316-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA ANTOINETTE SIMISTER-IRVING LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "SIMISTER",
        "authorized_official_first_name": "NOVA",
        "authorized_official_middle_name": "ANTOINETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-316-1914",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TIN",
            "identifier": "1346679198",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOVA SIMISTER LCSW, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.