Marissa Simon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

73 079580 Issued in NY

Practice address

1983 Marcus Ave Ste C102
New Hyde Park, NY 11042-2006

Phone

(516) 876-4100

NPI assigned

May 27, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• North Shore-Lij Medical Group P.C.

  • Internal Medicine Physician
  • Manhasset, NY
  • NPI 1942666557
  Medicare reassignment

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1881006708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LINDBERGH CIR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117435369",
            "telephone_number": "516-361-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE STE C102",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422006",
            "telephone_number": "516-876-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "MARISSA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73 079580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burton Silverman, LCSW, PH.D
• Robert Silverman
• Robert Jay Silverman, PH,D,
• Sheryl Lynn Silverstein, D.M.D.
• Liya Polley Simon
• Shevhon Simon, NP
• Simeya A Simon
• Glenn Charles Simonelli, D.D.S.
• Dina Simonian
• Joseph Simpson, M.D.

• Clinical Social Worker in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.